Provider Demographics
NPI:1649481169
Name:BONTE, JOSIANE (MS)
Entity type:Individual
Prefix:MISS
First Name:JOSIANE
Middle Name:
Last Name:BONTE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:JOSIANE
Other - Middle Name:BONTE
Other - Last Name:APOLLON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:2000 S DIXIE HWY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:COCONUT GROVE
Mailing Address - State:FL
Mailing Address - Zip Code:33133-2456
Mailing Address - Country:US
Mailing Address - Phone:786-553-5871
Mailing Address - Fax:
Practice Address - Street 1:2000 S DIXIE HWY
Practice Address - Street 2:SUITE 104
Practice Address - City:COCONUT GROVE
Practice Address - State:FL
Practice Address - Zip Code:33133-2456
Practice Address - Country:US
Practice Address - Phone:786-553-5871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLNONEMedicaid