Provider Demographics
NPI:1215989595
Name:BUONAVOLONTA, JAMES J (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:J
Last Name:BUONAVOLONTA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6101 PINE RIDGE RD
Mailing Address - Street 2:DESK 12/13
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-3900
Mailing Address - Country:US
Mailing Address - Phone:239-263-0849
Mailing Address - Fax:239-263-2376
Practice Address - Street 1:201 8TH ST S
Practice Address - Street 2:STE 102
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6107
Practice Address - Country:US
Practice Address - Phone:239-682-6603
Practice Address - Fax:239-263-2014
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
FLME67966207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL27271OtherBLUE SHIELD
FL378895400Medicaid
FL5951035OtherAETNA
FL40916JOtherBLUE CROSS
FL276724OtherONE HEALTH PLAN
FL2501782OtherUNITED HEALTH CARE
FL2501782OtherUNITED HEALTH CARE
FL2501782OtherUNITED HEALTH CARE