Provider Demographics
NPI:1245216340
Name:BOHNKER, BRUCE KEITH (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:KEITH
Last Name:BOHNKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9210 FLORIDA PALM DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-4352
Mailing Address - Country:US
Mailing Address - Phone:813-246-4377
Mailing Address - Fax:813-246-4654
Practice Address - Street 1:9210 FLORIDA PALM DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-4352
Practice Address - Country:US
Practice Address - Phone:813-246-4377
Practice Address - Fax:813-246-4654
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0433172083A0100X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine