BONNY FRESCURA (NPI# 1780210856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780210856 |
| Entity Type | Individual |
| Full Name | BONNY FRESCURA |
| Credential | MFT |
| Practice Address |
1542 Kingsley Ave Ste 136 Orange Park FL 32073-4547 |
| Mailing Address |
13444 Gran Bay Pkwy Jacksonville FL 32258-6491 |
| Practice Telephone | 9042143222 |
| Mailing Telephone | 9044173519 |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0000X |
Psychologist Specialization: Family |
37FA00007200 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
1542 KINGSLEY AVE STE 136 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 103TF0000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799160 | Florence Robinson Paulk | Psychologist | 1511 Avenue F, Riviera Beach, FL 33404-6133 | 2020-01-10 |
| 1104468685 | Christopher Michael Gilbert | Psychologist | 2755 S Federal Hwy Ste 9, Boynton Beach, FL 33435-7742 | 2019-10-16 |
| 1932679420 | Kristina Breitling Krug | Psychologist | 1735 Moss Creek Dr, Fleming Island, FL 32003-8348 | 2018-11-28 |
| 1811404452 | Debbie Camille Carvalho | Psychologist | 4449 Great Habor Lane, Kissimmee, FL 34746 | 2018-01-04 |
| 1790971521 | Elizabeth Ann Pearl | Psychologist | 4313 Harbor Lake Dr, Lutz, FL 33558-9712 | 2007-09-14 |
| 1538776885 | Roxana Escobar | Psychologist | 12911 N Telecom Pkwy, Temple Terrace, FL 33637-0907 | 2020-09-29 |
| 1609377449 | Alecia Rodriguez | Psychologist | 8001 Sw 36th St Ste 9, Davie, FL 33328-1915 | 2018-02-27 |
| 1447622808 | The Learning Tree of Dade County, Pa Inc | Psychologist | 2636 Ne 205th St, Miami, FL 33180-1115 | 2015-10-26 |
| 1679813935 | South Florida Counseling and Awareness Center | Psychologist | 4040 Sunbeam Rd, Suite 2, Jacksonville, FL 32257-7547 | 2013-02-25 |
| 1528325909 | Richard S Greenbaum Phd, Pa | Psychologist | 1175 Ne 125th St, North Miami, FL 33161-5015 | 2012-04-23 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
Please comment or provide details below to improve the information on BONNY FRESCURA.
| 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.