| Phc Management Services, Llc | |
|
23750 Via Trevi Way Bonita Springs FL 34134-7184 | |
| (330) 533-6197 | |
| Not Available |
| Full Name | Phc Management Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 23750 Via Trevi Way, Bonita Springs, Florida |
| Authorized Official Name and Position | Steven M Demaiolo (CEO) |
| Authorized Official Contact | 3305336197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phc Management Services, Llc 23750 Via Trevi Way Bonita Springs FL 34134-7184 Ph: (330) 533-6197 | Phc Management Services, Llc 23750 Via Trevi Way Bonita Springs FL 34134-7184 Ph: (330) 533-6197 |
| NPI Number | 1124270988 |
|---|---|
| Provider Enumeration Date | 10/10/2008 |
| Last Update Date | 10/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124270988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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