Provider Demographics
NPI:1164824694
Name:THONY, BENDJI (FNP)
Entity type:Individual
Prefix:
First Name:BENDJI
Middle Name:
Last Name:THONY
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:BENDJI
Other - Middle Name:
Other - Last Name:THONY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:1750 17TH ST STE E
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-8666
Mailing Address - Country:US
Mailing Address - Phone:941-529-0200
Mailing Address - Fax:941-260-8724
Practice Address - Street 1:1900 BROTHER GEENEN WAY
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-7102
Practice Address - Country:US
Practice Address - Phone:941-529-0200
Practice Address - Fax:833-606-0218
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-16
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9358089363LF0000X
FL9358089363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily