SAMANTHA BONILLA (NPI# 1174978175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174978175 |
| Entity Type | Individual |
| Full Name | SAMANTHA BONILLA |
| Credential | APRN |
| Practice Address |
661 E Altamonte Dr Ste 220 Altamonte Springs FL 32701 |
| Mailing Address |
661 E Altamonte Dr Ste 220 Altamonte Springs FL 32701-5102 |
| Practice Telephone | 4073035191 |
| Practice Fax Number | 4073035193 |
| Mailing Telephone | 4073035191 |
| Mailing Fax Number | 4073035193 |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN9226889 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN9226889 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
661 E ALTAMONTE DR STE 220 |
| City | ALTAMONTE SPRINGS |
| State | FL |
| Zip Code | 32701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902072663 | Mark Karam Soliman | Surgery | 661 E Altamonte Dr Ste 220, Altamonte Springs, FL 32701-5102 | 2008-05-02 |
| 1790283208 | Amanda Cali | Physician Assistant | 661 E Altamonte Dr Ste 220, Altamonte Springs, FL 32701-5102 | 2018-01-30 |
| 1477906915 | Justin Kelly | Colon & Rectal Surgery | 661 E Altamonte Dr Ste 220, Altamonte Springs, FL 32701-5102 | 2016-07-20 |
| 1578943049 | Sandria Alathia Mclymont | Nurse Practitioner | 661 E Altamonte Dr Ste 220, Altamonte Springs, FL 32701-5102 | 2015-05-31 |
| 1134469166 | Yaphet Tilahun | Colon & Rectal Surgery | 661 E Altamonte Dr Ste 220, Altamonte Springs, FL 32701 | 2013-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499102 | Mks Care Services LLC | Clinic/Center | 270 Mira Way, Apt. 207, Altamonte Springs, FL 32701 | 2020-05-19 |
| 1598307993 | Integumentary Physiotherapy Institute, LLC | Physical Therapist | 616 E Altamonte Dr Ste 203, Altamonte Springs, FL 32701 | 2019-10-17 |
| 1922569508 | Adventist Health System- Sunbelt Inc Adventhealth Orlando | Pharmacy | 661 E Altamonte Drive Ste 116, Altamonte Springs, FL 32701 | 2019-03-27 |
| 1720524812 | Paula Paton | Nurse Practitioner | 249 Maitland Avenue, Suite 1000, Altamonte Springs, FL 32701 | 2017-01-12 |
| 1639521800 | Mohamed Samy Elwany | Audiologist | 600 E Altamonte Drive, Suite 1700, Altamonte Springs, FL 32701 | 2016-07-12 |
| 1780061267 | Rogers Massage Therapy Clinic | Point of Service | 1061 East Altamonte Dr, Suite 1019, Altamonte Springs, FL 32701 | 2015-05-04 |
| 1598160145 | New Smile Dentistry of Altamonte Springs, Pa | Dentist | 512 E Altamonte Drive, Altamonte Springs, FL 32701 | 2014-10-24 |
| 1083035802 | Amanda Hirsch | Nurse Practitioner | 150 Cranes Roost Blvd, Suite 1220, Altamonte Springs, FL 32701 | 2013-12-20 |
| 1952731143 | Don M. Preble | Dentist | 499 E. Central Parkway Ste 220, Altamonte Springs, FL 32701 | 2013-11-25 |
| 1366883548 | Jose Rafael Navarro | Dentist | 305 East Altamonte Drive, Suite 1020, Altamonte Springs, FL 32701 | 2013-07-16 |
| Find all providers in zip 32701 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
| 1588103931 | Sharon Pearcy | Nurse Practitioner | 185 Waterfall Way, Unit 101, Altamonte Springs, FL 32714-6860 | 2017-02-17 |
| 1104374164 | Railet Rodriguez | Nurse Practitioner | 829 Douglas Ave, Altamonte Springs, FL 32714-2084 | 2016-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871724 | Brenna Schulman | Nurse Practitioner | 6859 Sw 18th St Ste 200, Boca Raton, FL 33433-7015 | 2020-11-04 |
| 1245831726 | Sydia Spence | Nurse Practitioner | 8001 Nw 66th Ter, Tamarac, FL 33321-7015 | 2020-11-02 |
| 1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
| 1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
| 1023617420 | John Bertram Garrett Iv | Nurse Practitioner | 5079 Garrett Rd, Malone, FL 32445-3409 | 2020-10-19 |
| 1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
| 1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
| 1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
| 1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
| 1033729546 | Anderson Healthcare Masters LLC | Nurse Practitioner | 2332 Brian Lakes Dr E, Jacksonville, FL 32221-2802 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
| City | ALTAMONTE SPRINGS |
| Zip Code | 32701 |
Please comment or provide details below to improve the information on SAMANTHA BONILLA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.