Mrs Susan Midtfjell Bonagura, PT is a
Physical Therapist based in Citra, Florida. Mrs Susan Midtfjell Bonagura is licensed to practice in Florida (license number PT16886) and her current practice location is
520 Ne 189th Ln, Citra, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 595-4554.
NPI number for Mrs Susan Midtfjell Bonagura is 1346541166 and her current mailing address is 520 Ne 189th Ln, Citra, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346541166.
Healthcare Provider's Profile
Full Name | Mrs Susan Midtfjell Bonagura |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 520 Ne 189th Ln, Citra, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346541166
- Provider Enumeration Date: 11/10/2010
- Last Update Date: 12/01/2010
Medical Identifiers
Medical identifiers for Mrs Susan Midtfjell Bonagura such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346541166 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT16886 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Susan Midtfjell Bonagura is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Susan Midtfjell Bonagura, PT 520 Ne 189th Ln, Citra, FL 32113-2217 Ph: (352) 595-4554 | Mrs Susan Midtfjell Bonagura, PT 520 Ne 189th Ln, Citra, FL 32113-2217 Ph: (352) 595-4554 |
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