# ENTERA MEDICAL LLC

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

## Provider details

- **NPI number:** 1528976289
- **Authorized official:** DELIA A WIETECHA MD (OWNER)
- **Authorized official phone:** (239) 499-5962

## Contact information

- **Practice address:** 4450 BONITA BEACH RD STE 9, BONITA SPRINGS, FL 34134
- **Practice address phone:** (239) 499-5962
- **Mailing address:** 4450 BONITA BEACH RD STE 9, BONITA SPRINGS, FL 34134
- **Mailing address phone:** (239) 499-5962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/01/2026
- **Last updated:** 09/04/2026