Organization
PCCM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BOOKMAN MD (PHYSICIAN)
(239) 208-0381
Entity
Organization
Contact information
Practice address
3021 AIRPORT PULLING RD N STE 103, NAPLES, FL 34105-3077
(239) 208-0381
(305) 721-1545
Mailing address
3021 AIRPORT PULLING RD N STE 103, NAPLES, FL 34105-3077
(239) 208-0381
(305) 721-1545
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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