Organization
IMED DIAGNOSTIC SERVICES OF BONITA SPRINGS LLC
Active
Organization
IMED DIAGNOSTIC SERVICES OF BONITA SPRINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN B STERNBERG (CEO PRESIDENT)
(239) 597-5530
Entity
Organization
Contact information
Practice address
9400 BONITA BEACH RD SE, SUITE 201, BONITA SPRINGS, FL 34135-4515
(239) 597-5530
(239) 597-7825
Mailing address
9400 BONITA BEACH RD SE, SUITE 201, BONITA SPRINGS, FL 34135-4515
(239) 597-5530
(239) 597-7825
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
PENDING
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
STATE LICENSURE
FL
Enumeration date
02/15/2007
Last updated
10/17/2008
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