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MATTHEW J BONANNO MD
NPI 1679678338
Surgery - Plastic and Reconstructive Surgery in Venice, FL

Active since September 14, 2006
1295 JACARANDA BLVD, VENICE, FL 34292(941) 484-1510(941) 484-1071 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew J Bonanno Md NPPES

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

MATTHEW J BONANNO MD (NPI 1679678338) is an individual plastic and reconstructive surgery provider in Venice, Florida, licensed in Florida (ME88794) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1679678338
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameMATTHEW J BONANNOCredential: MD
Location Address1295 JACARANDA BLVDVenice, FL 34292-4522
Mailing Address15051 S Tamiami Trl, Suite 203Fort Myers, FL 33908-5182 · (239) 437-8810 · Fax (239) 313-2555
Phone(941) 484-1510
Fax(941) 484-1071
Sole ProprietorNo
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJune 1, 2016
✔ NPI 1679678338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in FL · ME88794
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1295 JACARANDA BLVD, Venice, FL 34292
Open in Google Maps ↗

Other Identifiers 1

OtherME88794FL · Fl Medical License

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE K. MCBRIDE MD
Dermatology
1295 JACARANDA BLVD
VENICE, FL 34292
Sarasota County (941) 484-1510
ARIANA PARKER PA-C
Physician Assistant (Medical)
1295 JACARANDA BLVD
VENICE, FL 34292
Sarasota County (941) 538-7947
ASHLEY J GOLDBERG SANDERSON PA
Physician Assistant
1295 JACARANDA BLVD
VENICE, FL 34292
Sarasota County (941) 484-1510
ZAREMA CARRIER FNP
Nurse Practitioner
1295 JACARANDA BLVD
VENICE, FL 34292
Sarasota County (941) 538-7947
CHASIE L. HAUPT PA
Physician Assistant (Surgical)
1295 JACARANDA BLVD
VENICE, FL 34292
Sarasota County (941) 538-7947

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 Matthew Bonanno's NPI number?

The NPI number for Matthew Bonanno is 1679678338. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Matthew Bonanno located?

Matthew Bonanno practices at 1295 Jacaranda Blvd, Venice, FL 34292. The listed phone number is (941) 484-1510.

What is Matthew Bonanno's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Matthew Bonanno was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.