Individual provider · Type 1 NPI
Alexis Hernandez Bonilla, MD
General Practice Physician · Dade City, FL
NPI number
1700518735
Active
Practice location
13438 Fort King Rd
Dade City, FL 33525-5214
Fax (352) 567-3066
Mailing address
601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | ACN1449 (FL) |
| General Practice Physician | 208D00000X | 22808 (PR) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
Other general practice physician providers in Dade City
About NPI 1700518735
Alexis Hernandez Bonilla, MD's National Provider Identifier is 1700518735, issued on Jun 28, 2022. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Dade City, FL. The record was last updated on Oct 2, 2025.