| Bonita Beach Medical Group Llc | |
|
3431 Bonita Beach Rd Unit 406 Bonita Springs FL 34134-4153 | |
| (239) 888-9818 | |
| (239) 326-0467 |
| Full Name | Bonita Beach Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3431 Bonita Beach Rd Unit 406, Bonita Springs, Florida |
| Authorized Official Name and Position | Bogdan-gabriel Cozmuta (MANAGER) |
| Authorized Official Contact | 2035580836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonita Beach Medical Group Llc 3431 Bonita Beach Rd Unit 406 Bonita Springs FL 34134-4153 Ph: (239) 888-9818 | Bonita Beach Medical Group Llc 3431 Bonita Beach Rd Unit 406 Bonita Springs FL 34134-4153 Ph: (239) 888-9818 |
| NPI Number | 1255921318 |
|---|---|
| Provider Enumeration Date | 01/22/2021 |
| Last Update Date | 01/22/2021 |
| Medicare PECOS PAC ID | 3577971324 |
|---|---|
| Medicare Enrollment ID | O20210416001063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255921318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sandra Giraldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558784611 PECOS PAC ID: 4688913478 Enrollment ID: I20190221001715 |
Alborada Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3376 Woods Edge Circle, Ste 102, Bonita Springs, FL 34134 Phone: 239-948-4063 | |
Healthstar Medical Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10331 Autumn Brz Dr, #202, Bonita Springs, FL 34135 Phone: 239-961-5906 | |
Collier Hma Physician Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8951 Bonita Beach Rd Se Ste 310, Bonita Springs, FL 34135 Phone: 239-348-4221 Fax: 239-354-9509 | |
Medicalmastersorg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9200 Bonita Beach Rd Se Ste 113, Bonita Springs, FL 34135 Phone: 239-908-4711 Fax: 239-444-4702 | |
Robert Sadaty Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9400 Fountain Medical Ct, Suite B100, Bonita Springs, FL 34135 Phone: 239-494-6244 Fax: 239-992-4121 | |
Redi Med Of Bonita Springs Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9400 Bonita Beach Rd Se, Suite 101, Bonita Springs, FL 34135 Phone: 239-498-9294 Fax: 239-498-9179 | |
Dean L Rackleff Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9400 Bonita Beach Rd Se Ste 102, Bonita Springs, FL 34135 Phone: 239-455-9946 Fax: 239-455-9947 |