Organization
BONITA FAMILY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINGO FELICIANO MD (OWNER)
(239) 992-4344
Entity
Organization
Contact information
Practice address
10459 REYNOLDS ST, BONITA SPRINGS, FL 34135-5535
(239) 992-4344
(239) 992-5042
Mailing address
PO BOX 366734, BONITA SPRINGS, FL 34136-6734
(239) 992-4344
(239) 992-5042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME63084
FL
Other
Enumeration date
08/22/2006
Last updated
06/19/2008
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