# BONITA COMMUNITY HEALTH CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BONITA COMMUNITY REHAB CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760459762
- **Authorized official:** MR. MICHAEL RILEY (CEO)
- **Authorized official phone:** (239) 949-1050

## Contact information

- **Practice address:** 3501 HEALTH CENTER BLVD, ESTERO, FL 34135-8127
- **Practice address phone:** (239) 949-1050
- **Mailing address:** 3501 HEALTH CENTER BLVD, BONITA SPRINGS, FL 34135-8127
- **Mailing address phone:** (239) 949-1050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | PT 21826 | FL | Yes |

## Other

- **Enumeration date:** 03/08/2006
- **Last updated:** 04/03/2019