Healthcare Provider Details

I. General information

NPI: 1336539170
Provider Name (Legal Business Name): BONNIE ZONAS MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2015
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date: 01/03/2017
Reactivation Date: 11/18/2020

III. Provider practice location address

680 2ND AVE N SUITE 301
NAPLES FL
34102-5753
US

IV. Provider business mailing address

680 2ND AVE N SUITE 301
NAPLES FL
34102-5753
US

V. Phone/Fax

Practice location:
  • Phone: 239-261-7546
  • Fax: 239-261-1522
Mailing address:
  • Phone: 239-261-7546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW WAGNER
Title or Position: OFFICE MANAGER
Credential:
Phone: 239-940-2468