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NPI Code Detail

MEDICARE: BONITA COMMUNITY HEALTH CENTER INC

MEDICARE: BONITA COMMUNITY HEALTH CENTER INC
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
12085R0202XDiagnostic Radiology Physician
2208D00000XGeneral Practice Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2274894OTHERFLAVMED
345737OTHERFLBCBS FLORIDA
4925030OTHERFLAETNA

General Provider Information

NPI Number : 1922096999
Entity Type Code : Organization
Provider Name (Legal Business Name) : BONITA COMMUNITY HEALTH CENTER INC
Provider Business Mailing Address
First Line : 3501 HEALTH CENTER BLVD
Second Line :
City : BONITA SPRINGS
State : FL
Zip : 34135-8127
Country : US
Telephone Number : 239-949-1050
Fax Number : 239-949-6111
Provider Business Practice Location Address
First Line : 3501 HEALTH CENTER BLVD
Second Line :
City : BONITA SPRINGS
State : FL
Zip : 34135-8127
Country : US
Telephone Number : 239-949-1050
Fax Number : 239-949-6111
Authorized Official
Title or Position : CEO
Name : MS. MIKE RILEY
Credential :
Telephone Number : 239-949-6115
Provider Enumeration Date : 10/12/2005
Last Update Date : 04/03/2008

Similar Medicare Providers

1518955897 — BONITA COMMUNITY HEALTH CENTER INC
Practice Location Address:
3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL
34135-8127
Practice Phone: 239-949-1050
Practice Fax: 239-949-6111
1033107081 — MR. ANGELO JOSEPH ZAPPALA DO
Practice Location Address:
3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL
34135-8127
Practice Phone: 239-949-1050
Practice Fax: 239-949-6111
1972594299 — DR. PHYLLIS A NEEF MD
Practice Location Address:
3501 HEALTH CENTER BLVD , SUITE 2310
BONITA SPRINGS, FL
34135-8127
Practice Phone: 239-939-0558
Practice Fax:
1891740171 — MRS. DONNA MARIE NEWHARD ARNP
Practice Location Address:
3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL
34135-8127
Practice Phone: 239-949-6109
Practice Fax: 239-949-6111
1851347488 — DR. CHIP T SHEMANSKY D.C.
Practice Location Address:
3501 HEALTH CENTER BLVD , SUITE 2430
BONITA SPRINGS, FL
34135-8127
Practice Phone: 239-948-5727
Practice Fax: 239-948-5895
1760429559 — DIAGNOSTIC SERVICES INC
Practice Location Address:
3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL
34135-8127
Practice Phone: 239-561-8201
Practice Fax:

Directions to “BONITA COMMUNITY HEALTH CENTER INC ” Practice Location

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