NPI 1154962645 · live from the CMS NPI Registry
Diangie Acosta Bonilla, MD
Family Medicine in Kenneth City, FL. National Provider Identifier 1154962645, active.
NPI record
| NPI | 1154962645 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 4390 66th St N, Kenneth City, FL 33709 |
| Practice phone | 727-513-4100 |
| Enumerated | October 5, 2019 |
| Last updated | June 15, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | ME159985 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.