| Anthony J. Williamitis M D Inc. | |
|
9200 Bonita Beach Rd Se #105 Bonita Springs FL 34135-4280 | |
| (239) 947-6808 | |
| (239) 947-9625 |
| Full Name | Anthony J. Williamitis M D Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 9200 Bonita Beach Rd Se, Bonita Springs, Florida |
| Authorized Official Name and Position | Anthony J Williamitis (PRESIDENT) |
| Authorized Official Contact | 2399476808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony J. Williamitis M D Inc. 9200 Bonita Beach Rd Se #105 Bonita Springs FL 34135-4280 Ph: (239) 947-6808 | Anthony J. Williamitis M D Inc. 9200 Bonita Beach Rd Se #105 Bonita Springs FL 34135-4280 Ph: (239) 947-6808 |
| NPI Number | 1164771069 |
|---|---|
| Provider Enumeration Date | 09/06/2012 |
| Last Update Date | 12/09/2020 |
| Medicare PECOS PAC ID | 1052569407 |
|---|---|
| Medicare Enrollment ID | O20120910000847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164771069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0049884 (Florida) | Primary |
| Provider Name | Anthony J Williamitis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033289103 PECOS PAC ID: 1759336266 Enrollment ID: I20050317000604 |
| Provider Name | Awais A Siddiki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770743890 PECOS PAC ID: 7618145863 Enrollment ID: I20150602002886 |
| Provider Name | Ruthanne F Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669949194 PECOS PAC ID: 3375880354 Enrollment ID: I20190129002535 |
| Provider Name | Sailys Nunez Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578044145 PECOS PAC ID: 7113266511 Enrollment ID: I20190301001076 |
| Provider Name | Kimberly Stead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528604071 PECOS PAC ID: 6800220435 Enrollment ID: I20200107001364 |
| Provider Name | Yahumara Leiva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073105185 PECOS PAC ID: 0941615926 Enrollment ID: I20210225001266 |
| Provider Name | Alba Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386383271 PECOS PAC ID: 6204203656 Enrollment ID: I20221027003040 |
| Provider Name | Melissa F Naranjo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518680834 PECOS PAC ID: 2365810959 Enrollment ID: I20221202000712 |
| Provider Name | Jamie L Benigno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689354433 PECOS PAC ID: 8820441348 Enrollment ID: I20240131001881 |
| Provider Name | Flora R Loomis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598534760 PECOS PAC ID: 1355781030 Enrollment ID: I20240429000764 |
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