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NPI Code Detail

MEDICARE: JENNIFER BONA B.A.

MEDICARE:   JENNIFER  BONA  B.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2251B00000XCase Management Agency
3104100000XSocial Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164845467
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER BONA B.A.
Provider Business Mailing Address
First Line : 1220 S DALE MABRY HWY
Second Line : STE. 201
City : TAMPA
State : FL
Zip : 33629-5019
Country : US
Telephone Number : 813-258-8887
Fax Number : 813-925-4351
Provider Business Practice Location Address
First Line : 1220 S DALE MABRY HWY
Second Line : STE. 201
City : TAMPA
State : FL
Zip : 33629-5019
Country : US
Telephone Number : 813-258-8887
Fax Number : 813-925-4351
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2014
Last Update Date : 09/12/2021

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Directions to “ JENNIFER BONA B.A.” Practice Location

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