Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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William Mason Bonner, PA-C

Individual provider Medical Physician Assistant · NPI 1609218130

William Mason Bonner, PA-C is a Medical Physician Assistant in Jacksonville, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2013
Specialties on file
2
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

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 — (386) 425-2285

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9107302 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9107302 (FL)

Record details

NPI number1609218130
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 25, 2013
Last updated in NPPESOctober 9, 2020
Certification dateOctober 9, 2020

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