Individual provider · Type 1 NPI

Brian Keith Bonomo, PAC

Physician Assistant · Lecanto, FL

NPI number 1124012596 Active

Practice location

525 N Dacie Pt
Lecanto, FL 34461-8399

Call (352) 746-2200 Map

Fax (352) 746-9320

Mailing address

4651 Van Dyke Rd
Lutz, FL 33558-4880

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9101264 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124012596

Brian Keith Bonomo, PAC's National Provider Identifier is 1124012596, issued on Aug 31, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lecanto, FL. The record was last updated on Nov 12, 2022.