Myrna T Boneta, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME54178 Issued in FL

Practice address

10330 N Dale Mabry Hwy
Suite 190
Tampa, FL 33618-4404

Phone

(813) 963-7788

Fax

(813) 443-8149

NPI assigned

May 24, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1790788685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10744",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337578744",
            "telephone_number": "727-532-0002",
            "fax_number": "727-266-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 N DALE MABRY HWY",
            "address_2": "SUITE 190",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184404",
            "telephone_number": "813-963-7788",
            "fax_number": "813-443-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONETA",
        "first_name": "MYRNA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME54178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023457900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Bondell
• Monica Linda Bondoc, M.A., BCBA
• Yahya Bondokji, RBT
• Mailyn Bonet
• Mercedes Bonet
• Kylah Bonfante, RBT
• Michelle Jayne Bonfe, MSN,ONC,ANP-BC
• Edmund Bongolan, ARNP
• Lorenzo S Bongolan, MD
• Catherine Bonifacio

• Pediatrics Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.