Susan E. Bonenclark, PA-C

NPI #1578541223 in Belleview, Florida

Provider Information

NPI Number: 1578541223
Entity Type: Individual
Name: Susan E. Bonenclark, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 4, 2006
Last Updated: Oct 3, 2017

Practice Location

Address: 5051 SE 110TH ST
City: Belleview
State: Florida
ZIP Code: 34420-3115
Phone: (352) 674-1730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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