| Bonita Medical Care Center,inc | |
|
26455 Old 41 Rd Suite 18 Bonita Springs FL 34135-5124 | |
| (239) 405-7721 | |
| (239) 405-7692 |
| Full Name | Bonita Medical Care Center,inc |
|---|---|
| Speciality | Family Medicine |
| Location | 26455 Old 41 Rd, Bonita Springs, Florida |
| Authorized Official Name and Position | Jackeline Nunez (DOCTOR) |
| Authorized Official Contact | 2394057721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonita Medical Care Center,inc 1320 Mariposa Cir Apt 104 Naples FL 34105-7231 Ph: (239) 273-1971 | Bonita Medical Care Center,inc 26455 Old 41 Rd Suite 18 Bonita Springs FL 34135-5124 Ph: (239) 405-7721 |
| NPI Number | 1639612484 |
|---|---|
| Provider Enumeration Date | 11/28/2016 |
| Last Update Date | 11/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639612484 | NPI | - | NPPES |
| HV2572 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ACN487 (Florida) | Primary |
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