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DEREK LEE BONILLA LMT
NPI 1851054134
Massage Therapist in Deltona, FL

Active since October 14, 2021
1206 W WELLINGTON DR, DELTONA, FL 32725(407) 314-3351 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Derek Lee Bonilla Lmt NPPES

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

DEREK LEE BONILLA LMT (NPI 1851054134) is an individual massage therapist in Deltona, Florida, licensed in Florida (57436) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1851054134
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameDEREK LEE BONILLACredential: LMT
Location Address1206 W WELLINGTON DRDeltona, FL 32725-7036
Mailing Address1206 W Wellington DrDeltona, FL 32725-7036 · (407) 314-3351
Phone(407) 314-3351
Sole ProprietorYes
Enumeration DateOctober 14, 2021
NPPES CertifiedOctober 14, 2021
✔ NPI 1851054134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in FL · 57436
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
1206 W WELLINGTON DR, Deltona, FL 32725
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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 Derek Bonilla's NPI number?

The NPI number for Derek Bonilla is 1851054134. It was assigned to this individual provider in the NPPES registry on October 14, 2021.

Where is Derek Bonilla located?

Derek Bonilla practices at 1206 W Wellington Dr, Deltona, FL 32725. The listed phone number is (407) 314-3351.

What is Derek Bonilla's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Derek Bonilla was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.