| Imed Diagnostic Services Of Bonita Springs Llc | |
|
9400 Bonita Beach Rd Se Suite 201 Bonita Springs FL 34135-4515 | |
| (239) 597-5530 | |
| (239) 597-7825 |
| Full Name | Imed Diagnostic Services Of Bonita Springs Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 9400 Bonita Beach Rd Se, Bonita Springs, Florida |
| Authorized Official Name and Position | Alan B Sternberg (CEO PRESIDENT) |
| Authorized Official Contact | 2395975530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imed Diagnostic Services Of Bonita Springs Llc 9400 Bonita Beach Rd Se Suite 201 Bonita Springs FL 34135-4515 Ph: (239) 597-5530 | Imed Diagnostic Services Of Bonita Springs Llc 9400 Bonita Beach Rd Se Suite 201 Bonita Springs FL 34135-4515 Ph: (239) 597-5530 |
| NPI Number | 1215070776 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 10/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215070776 | NPI | - | NPPES |
| PENDING | Other | FL | STATE LICENSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | PENDING (Florida) | Primary |
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