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

Mrs. Crystal Bonanni, PA-C

Individual provider Physician Assistant · NPI 1164721221

Mrs. Crystal Bonanni, PA-C is a Physician Assistant in Pensacola, Florida. Practices as a sole proprietor. Licensed in Florida, North Carolina, Pennsylvania and Tennessee.

Licensed in
FL, NC, PA, TN
In the registry since
2011
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8333 N Davis Hwy Ste 601
Pensacola, FL 32514-6050
Phone: (850) 497-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9109436 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 1967 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 0010-05110 (NC)
Physician Assistant Taxonomy 363A00000X · Licence MA053074 (PA)

Record details

NPI number1164721221
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 15, 2011
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 2024

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