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Organization

PILOT HEALTHCARE P.L.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE MICHAEL BRIDEWELL M.D. (PRESIDENT)
(239) 992-7822
Entity
Organization

Contact information

Practice address
3501 HEALTH CENTER BLVD, #2230, BONITA SPRINGS, FL 34135-8127
(239) 992-7822
(239) 947-5687
Mailing address
20791 THREE OAKS PKWY, #1209, ESTERO, FL 33929-3670
(239) 992-7822
(239) 947-5687

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME51156
FL

Other

Enumeration date
09/13/2007
Last updated
03/01/2013
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