Organization
BONITA MEDICAL CARE CENTER,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKELINE NUNEZ M.D. (DOCTOR)
(239) 405-7721
Entity
Organization
Contact information
Practice address
26455 OLD 41 RD, SUITE 18, BONITA SPRINGS, FL 34135-5124
(239) 405-7721
(239) 405-7692
Mailing address
1320 MARIPOSA CIR APT 104, NAPLES, FL 34105-7231
(239) 273-1971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ACN487
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HV2572
—
FL
Enumeration date
11/28/2016
Last updated
11/28/2016
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