Individual provider · Type 1 NPI

Jenna Rose Bonaccorso, DO

Pediatrics Physician · Port Orange, FL

NPI number 1063973733 Active

Practice location

5821 S Williamson Blvd Ste 201
Port Orange, FL 32128-6102

Fax (386) 231-3499

Mailing address

770 W Granada Blvd Ste 101
Ormond Beach, FL 32174-5179

Other practice locations

  • 305 Memorial Medical Pkwy Ste 405, Daytona Beach, FL 32117-5169 · (386) 231-3420

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XOS22105 (FL)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1063973733

Jenna Rose Bonaccorso, DO's National Provider Identifier is 1063973733, issued on Mar 26, 2019. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Port Orange, FL. The record was last updated on Aug 26, 2025.