BONITA DERMATOLOGY, P.A.
NPI 1073883617
Specialist in Bonita Springs, FL

Q: What is Bonita Dermatology, P.A.'s NPI number?

The NPI number for Bonita Dermatology, P.A. is 1073883617. It was assigned to this organization in the NPPES registry on January 12, 2012.

Q: What is Bonita Dermatology, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since January 12, 2012

9411 FOUNTAIN MEDICAL CT STE 100, BONITA SPRINGS, FL 34135(239) 593-1632 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bonita Dermatology, P.a. NPPES

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

BONITA DERMATOLOGY, P.A. (NPI 1073883617) is a healthcare organization registered as a specialist in Bonita Springs, Florida and active in the NPI registry since January 2012. The organization lists Suzy Pope Lee, Employee, as its authorized official.

NPPES Registry Identity

NPI1073883617

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameBONITA DERMATOLOGY, P.A.

Location Address9411 FOUNTAIN MEDICAL CT STE 100Bonita Springs, FL 34135-4625

Mailing Address9411 Fountain Medical Ct Ste 100Bonita Springs, FL 34135-4625 · (239) 593-1632

Phone(239) 593-1632

Organization SubpartNo

Authorized OfficialSuzy Pope LeeEmployee · (239) 593-1632

Enumeration DateJanuary 12, 2012

Last NPPES UpdateFebruary 16, 2012

✔ NPI 1073883617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

9411 FOUNTAIN MEDICAL CT STE 100, Bonita Springs, FL 34135

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Bonita Dermatology, P.A.'s NPI number?

The NPI number for Bonita Dermatology, P.A. is 1073883617. It was assigned to this organization in the NPPES registry on January 12, 2012.

Where is Bonita Dermatology, P.A. located?

Bonita Dermatology, P.A. is located at 9411 Fountain Medical Ct Ste 100, Bonita Springs, FL 34135. The listed phone number is (239) 593-1632.

What is Bonita Dermatology, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Bonita Dermatology, P.A. was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.