| Redi Med Of Bonita Springs Llc | |
|
9400 Bonita Beach Rd Se Suite 101 Bonita Springs FL 34135-4515 | |
| (239) 498-9294 | |
| (239) 498-9179 |
| Full Name | Redi Med Of Bonita Springs Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9400 Bonita Beach Rd Se, Bonita Springs, Florida |
| Authorized Official Name and Position | Shawn B Miller (OWNER) |
| Authorized Official Contact | 2394989294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redi Med Of Bonita Springs Llc 9400 Bonita Beach Rd Se Suite 101 Bonita Springs FL 34135-4515 Ph: (239) 498-9294 | Redi Med Of Bonita Springs Llc 9400 Bonita Beach Rd Se Suite 101 Bonita Springs FL 34135-4515 Ph: (239) 498-9294 |
| NPI Number | 1104901586 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104901586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME80489 (Florida) | Primary |
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