Individual provider · Type 1 NPI

Jeffrey Bonneville, DMSC MS L/CPO

Orthotist · Gainesville, FL

NPI number 1366973463 Active

Practice location

3214 NW 110th Terrace, 3214 NW 110th Terrace
Gainesville, FL 32606-4977

Mailing address

3214 NW 110th Terrace Gainesville Fl 32606, 1st Floor
Gainesville, FL 32606-4977

Specialties and licenses

TaxonomyCodeLicense
Prosthetist 224P00000X221-000165 (IL)
Orthotist 222Z00000XOH000281 (PA)
Prosthetist 224P00000X211.000165 (IL)
Orthotist Primary 222Z00000XORT394 (FL)
Prosthetist 224P00000XPO000194 (PA)

Orthotist: A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement th…

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About NPI 1366973463

Jeffrey Bonneville, DMSC MS L/CPO's National Provider Identifier is 1366973463, issued on Mar 21, 2017. The primary taxonomy on file is Orthotist (222Z00000X), and the practice location is in Gainesville, FL. The record was last updated on Aug 24, 2026.