Provider Demographics
NPI:1033255575
Name:DE BONA, MATTHEW RONALD (AP, DOM, LAP)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:RONALD
Last Name:DE BONA
Suffix:
Gender:M
Credentials:AP, DOM, LAP
Other - Prefix:
Other - First Name:MATTHEW
Other - Middle Name:RONALD
Other - Last Name:DE BONA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AP, DOM, LAP,
Mailing Address - Street 1:5344 9TH ST STE 106
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-4348
Mailing Address - Country:US
Mailing Address - Phone:813-588-2028
Mailing Address - Fax:813-434-2277
Practice Address - Street 1:5344 9TH ST STE 106
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-4348
Practice Address - Country:US
Practice Address - Phone:813-588-2028
Practice Address - Fax:813-434-2277
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1555171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist