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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