Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bonita Dermatology, PA

Organization Specialist · NPI 1073883617

Bonita Dermatology, PA is a Specialist in Bonita Springs, Florida. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

9411 Fountain Medical Ct Ste 100
Bonita Springs, FL 34135-4625
Phone: (239) 593-1632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1073883617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suzy Lee — Employee · (239) 593-1632
NPI enumeratedJanuary 12, 2012
Last updated in NPPESFebruary 16, 2012
Mailing address9411 Fountain Medical Ct Ste 100, Bonita Springs, FL 34135-4625

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