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

Nathan Alexander Bonilla

Individual provider Athletic Trainer · NPI 1821842972

Nathan Alexander Bonilla is an Athletic Trainer in Orlando, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

2720 River Ridge Dr
Orlando, FL 32825-8768
Phone: (407) 451-2708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (FL)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1821842972
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 15, 2024
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024
Mailing address2720 River Ridge Dr, Orlando, FL 32825-8768

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