Active NPI
Naval Hospital Jacksonville
- Emergency Medicine Physician
- Jacksonville, FL
National Provider Identifier
1881618346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34006688
- Legal business name
- NAVAL HOSPITAL JACKSONVILLE
- Practice address
- Naval Hospital Jacksonville
Jacksonville, FL 32099 - Phone
- (904) 542-7787
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raquel Bono
- Title
- Co
- Phone
- (904) 542-7787
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34006688 | OH | Primary |
Addresses
Primary practice location
Naval Hospital Jacksonville
Jacksonville, FL 32099
Mailing address
3220 E 9TH St
Lynn Haven, FL 32444-3236
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1881618346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 E 9TH ST",
"city": "LYNN HAVEN",
"state": "FL",
"postal_code": "324443236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL JACKSONVILLE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32099",
"telephone_number": "904-542-7787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAVAL HOSPITAL JACKSONVILLE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "BONO",
"authorized_official_first_name": "RAQUEL",
"authorized_official_title_or_position": "CO",
"authorized_official_telephone_number": "904-542-7787"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34006688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Naval Hospital Jacksonville
- Naval Hospital Jacksonville
- Naval Hospital Jacksonville
- Naval Hospital Jacksonville
- Naval Hospital Jacksonville
- Naval Hospital Jacksonville
- Naval Hospital Nas Jacksonville Pharmacy Dept
- Naval Medical Center San Diego
- Naval Medical Center San Diego
- Neeraj Sunderrajan Naval, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.