Organization
BONITA BEACH MEDICAL GROUP LLC
Active
Other names
Bonita Beach Medical Group LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BOGDAN-GABRIEL COZMUTA PA (MANAGER)
(203) 558-0836
Entity
Organization
Contact information
Practice address
3431 BONITA BEACH RD UNIT 406, BONITA SPRINGS, FL 34134-4153
(239) 888-9818
(239) 326-0467
Mailing address
3431 BONITA BEACH RD UNIT 406, BONITA SPRINGS, FL 34134-4153
(239) 888-9818
(239) 326-0467
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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