# IMED DIAGNOSTIC SERVICES OF BONITA SPRINGS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215070776
- **Authorized official:** MR. ALAN B STERNBERG (CEO PRESIDENT)
- **Authorized official phone:** (239) 597-5530

## Contact information

- **Practice address:** 9400 BONITA BEACH RD SE, SUITE 201, BONITA SPRINGS, FL 34135-4515
- **Practice address phone:** (239) 597-5530
- **Practice address fax:** (239) 597-7825
- **Mailing address:** 9400 BONITA BEACH RD SE, SUITE 201, BONITA SPRINGS, FL 34135-4515
- **Mailing address phone:** (239) 597-5530
- **Mailing address fax:** (239) 597-7825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | PENDING | FL | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 10/17/2008