| Bonita Springs Family Practice Center | |
|
10201 Arcos Ave Suite 202 Estero FL 33928 | |
| (239) 949-1212 | |
| (239) 949-0587 |
| Full Name | Bonita Springs Family Practice Center |
|---|---|
| Speciality | General Practice |
| Location | 10201 Arcos Ave Suite 202, Estero, Florida |
| Authorized Official Name and Position | Richard R Wilson (DOCTOR/OWNER) |
| Authorized Official Contact | 2399491212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonita Springs Family Practice Center 10201 Arcos Ave Suite 202 Estero FL 33928 Ph: (239) 949-1212 | Bonita Springs Family Practice Center 10201 Arcos Ave Suite 202 Estero FL 33928 Ph: (239) 949-1212 |
| NPI Number | 1497938963 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 11/20/2013 |
| Medicare PECOS PAC ID | 2062402548 |
|---|---|
| Medicare Enrollment ID | O20040517000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497938963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OS9100 (Florida) | Primary |
| Provider Name | Richard R Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528021417 PECOS PAC ID: 0042200537 Enrollment ID: I20040518001250 |
Alliance Healthcare & Wellness,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21401 Corkscrew Village Ln Ste 1, Estero, FL 33928 Phone: 727-309-1412 | |
Coastal Physician Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9250 Corkscrew Rd, Suite 3, Estero, FL 33928 Phone: 239-498-2528 | |
Estero Eyecare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21753 Brixham Run Loop, Estero, FL 33928 Phone: 239-898-8712 | |
Restorative Health And Healing Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10201 Arcos Ave Ste 201, Estero, FL 33928 Phone: 314-239-0173 Fax: 239-948-0179 | |
Coconut Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9911 Corkscrew Rd Ste 200, Estero, FL 33928 Phone: 239-237-5500 Fax: 888-828-5797 | |
J Cole Nutrition Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10600 Chevrolet Way, St 229, Estero, FL 33928 Phone: 562-733-1144 Fax: 239-217-6880 | |
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