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Organization
REDI MED OF BONITA SPRINGS LLC
Active
Organization
REDI MED OF BONITA SPRINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN B MILLER MD (OWNER)
(239) 498-9294
Entity
Organization
Contact information
Practice address
9400 BONITA BEACH RD SE, SUITE 101, BONITA SPRINGS, FL 34135-4515
(239) 498-9294
(239) 498-9179
Mailing address
9400 BONITA BEACH RD SE, SUITE 101, BONITA SPRINGS, FL 34135-4515
(239) 498-9294
(239) 498-9179
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME80489
FL
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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