| Endocrinology Institute Of South Fl Llc | |
|
4061 Bonita Beach Rd Ste 101 Bonita Springs FL 34134-4074 | |
| (239) 301-0105 | |
| (239) 301-0110 |
| Full Name | Endocrinology Institute Of South Fl Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4061 Bonita Beach Rd, Bonita Springs, Florida |
| Authorized Official Name and Position | Orlando Fernandez (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2393010105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology Institute Of South Fl Llc 4061 Bonita Beach Rd Ste 101 Bonita Springs FL 34134-4074 Ph: (239) 301-0105 | Endocrinology Institute Of South Fl Llc 4061 Bonita Beach Rd Ste 101 Bonita Springs FL 34134-4074 Ph: (239) 301-0105 |
| NPI Number | 1366855975 |
|---|---|
| Provider Enumeration Date | 06/11/2014 |
| Last Update Date | 07/29/2014 |
| Medicare PECOS PAC ID | 9436375888 |
|---|---|
| Medicare Enrollment ID | O20140722000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366855975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | ME113113 (Florida) | Primary |
| Provider Name | Victor M Luna |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275566945 PECOS PAC ID: 6709844020 Enrollment ID: I20100316000668 |
| Provider Name | Guillermo Bohm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437157724 PECOS PAC ID: 8921183484 Enrollment ID: I20100416000756 |
| Provider Name | Dawn D Stoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376869305 PECOS PAC ID: 8325170046 Enrollment ID: I20100715000908 |
| Provider Name | Orlando Fernandez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811133234 PECOS PAC ID: 8325225733 Enrollment ID: I20120723000804 |
| Provider Name | Jose M Vazquez-cimadevilla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366600496 PECOS PAC ID: 4082864996 Enrollment ID: I20140925002429 |
| Provider Name | Michelle D Nowak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154674125 PECOS PAC ID: 8729225230 Enrollment ID: I20141010001571 |
| Provider Name | Dayron Ortega |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437684693 PECOS PAC ID: 2567843451 Enrollment ID: I20220725000746 |
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 |