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MRS. JENNA ROSE BONACCORSO DO
NPI 1063973733
Pediatrics in Port Orange, FL

Active since March 26, 2019
5821 S WILLIAMSON BLVD STE 201, PORT ORANGE, FL 32128(386) 231-3420(386) 231-3499 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jenna Rose Bonaccorso Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNA ROSE BONACCORSO DO (NPI 1063973733) is an individual pediatrics provider in Port Orange, Florida, licensed in Florida (OS22105) and active in the NPI registry since March 2019. She maintains a secondary practice location in Daytona Beach.

NPPES Registry Identity

NPI1063973733
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMRS. JENNA ROSE BONACCORSOCredential: DO
Location Address5821 S WILLIAMSON BLVD STE 201Port Orange, FL 32128-6102
Mailing Address770 W Granada Blvd Ste 101Ormond Beach, FL 32174-5179
Phone(386) 231-3420
Fax(386) 231-3499
Sole ProprietorNo
Enumeration DateMarch 26, 2019
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1063973733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · OS22105
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5821 S WILLIAMSON BLVD STE 201, Port Orange, FL 32128
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Secondary Practice Location 1

Location 1305 Memorial Medical Pkwy Ste 405Daytona Beach, FL 32117-5169 · Phone (386) 231-3420 · Fax (386) 231-3499

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenna Bonaccorso's NPI number?

The NPI number for Jenna Bonaccorso is 1063973733. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Jenna Bonaccorso located?

Jenna Bonaccorso practices at 5821 S Williamson Blvd Ste 201, Port Orange, FL 32128. The listed phone number is (386) 231-3420.

What is Jenna Bonaccorso's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Jenna Bonaccorso accept?

Health plans from Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida and 2 other insurers list Jenna Bonaccorso as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jenna Bonaccorso was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.