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Organization
INTEGRATED MEDICAL CENTRE OF BONITA SPRINGS INC
Active
Organization
INTEGRATED MEDICAL CENTRE OF BONITA SPRINGS INC
Active
Other names
Accident and Injury Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY L GENDRON DC (OWNER CLINIC DIRECTOR)
(239) 947-1177
Entity
Organization
Contact information
Practice address
28315 S TAMIAMI TRAIL, SUITE 101, BONITA SPRINGS, FL 34134
(239) 947-1177
(239) 947-6399
Mailing address
28315 S TAMIAMI TRAIL, SUITE 101, BONITA SPRINGS, FL 34134
(239) 947-1177
(239) 947-6399
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0005999
FL
171100000X
Acupuncturist
CH0005870
FL
Other
Enumeration date
03/16/2006
Last updated
11/20/2012
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