Provider Demographics
NPI:1477346591
Name:BAPTISTE, BONIA
Entity type:Individual
Prefix:
First Name:BONIA
Middle Name:
Last Name:BAPTISTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5426 TEXAS AVE
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34113-7859
Mailing Address - Country:US
Mailing Address - Phone:239-784-0132
Mailing Address - Fax:800-881-4548
Practice Address - Street 1:5426 TEXAS AVE
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34113-7859
Practice Address - Country:US
Practice Address - Phone:239-784-0132
Practice Address - Fax:800-881-4548
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL454897311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home