MEDICARE: ALZHEIMERS DIAGNOSTIC CENTERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1275375792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALZHEIMERS DIAGNOSTIC CENTERS

Provider Business Mailing Address
First Line	:	18301 TELEGRAPH CREEK LN
Second Line	:
City	:	ALVA
State	:	FL
Zip	:	33920-3141
Country	:	US
Telephone Number	:	239-989-3215
Fax Number	:

Provider Business Practice Location Address
First Line	:	3033 WINKLER AVE UNIT 200
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33916-9524
Country	:	US
Telephone Number	:	239-277-0200
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WENDY BOND
Credential	:	M.D.
Telephone Number	:	239-277-0200

Provider Enumeration Date	:	06/07/2024
Last Update Date	:	08/19/2024

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