Jeffrey Bonneville, DMSC MS L/CPO

Individual Active
NPI 1366973463
Orthotist Gainesville, FL

NPI 1366973463 belongs to Jeffrey Bonneville, DMSC MS L/CPO, an orthotist with a practice location in Gainesville, FL. The NPI was issued on March 21, 2017, and the record was last updated in NPPES on August 24, 2026. The record lists 5 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Orthotist Primary 222Z00000X ORT394 (FL)
Prosthetist 224P00000X 221-000165 (IL)
Orthotist 222Z00000X OH000281 (PA)
Prosthetist 224P00000X 211.000165 (IL)
Prosthetist 224P00000X PO000194 (PA)

Practice location

3214 NW 110th Terrace
3214 NW 110th Terrace
Gainesville, FL 32606-4977
Phone: (516) 582-8336

Local context

Active NPPES records list 8 providers with orthotist as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 68 in Florida and 1,337 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Jeffrey Bonneville
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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