MEDICARE: DR. JAMES J BUONAVOLONTA M.D.

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
1	207RC0000X	Cardiovascular Disease Physician	ME67966	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	27271	OTHER	FL	BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	5951035	OTHER	FL	AETNA
4	40916J	OTHER	FL	BLUE CROSS
5	276724	OTHER	FL	ONE HEALTH PLAN
6	2501782	OTHER	FL	UNITED HEALTH CARE

General Provider Information

NPI Number	:	1215989595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES J BUONAVOLONTA M.D.

Provider Business Mailing Address
First Line	:	6101 PINE RIDGE RD
Second Line	:	DESK 12/13
City	:	NAPLES
State	:	FL
Zip	:	34119-3900
Country	:	US
Telephone Number	:	239-263-0849
Fax Number	:	239-263-2376

Provider Business Practice Location Address
First Line	:	201 8TH ST S
Second Line	:	STE 102
City	:	NAPLES
State	:	FL
Zip	:	34102-6107
Country	:	US
Telephone Number	:	239-682-6603
Fax Number	:	239-263-2014

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	03/07/2023

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