Organization
BONITA COMMUNITY HEALTH CENTER INC
Active
Organization
BONITA COMMUNITY HEALTH CENTER INC
Active
Other names
BONITA COMMUNITY REHAB CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL RILEY (CEO)
(239) 949-1050
Entity
Organization
Contact information
Practice address
3501 HEALTH CENTER BLVD, ESTERO, FL 34135-8127
(239) 949-1050
Mailing address
3501 HEALTH CENTER BLVD, BONITA SPRINGS, FL 34135-8127
(239) 949-1050
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT 21826
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45737
BCBS FLORIDA
FL
Enumeration date
03/08/2006
Last updated
04/03/2019
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