Provider Demographics
NPI:1669653986
Name:DA SILVA BONFIM, SANDRA CRISTINA (CRNA)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:CRISTINA
Last Name:DA SILVA BONFIM
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:12230 W FOREST HILL BLVD
Mailing Address - Street 2:STE #182
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-5700
Mailing Address - Country:US
Mailing Address - Phone:561-798-4221
Mailing Address - Fax:561-798-4201
Practice Address - Street 1:804 SCOTT NIXON MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30907-2464
Practice Address - Country:US
Practice Address - Phone:800-394-4445
Practice Address - Fax:706-650-1034
Is Sole Proprietor?:No
Enumeration Date:2007-11-15
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN9268743367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered