Organization
BOCA GRANDE HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONNA R FOOS (DIRECTOR OF OPERATIONS)
(941) 964-2276
Entity
Organization
Contact information
Practice address
280 PARK AVENUE, BOCA GRANDE, FL 33921
(941) 964-2276
(941) 964-0158
Mailing address
PO BOX 517, BOCA GRANDE, FL 33921-0517
(941) 964-2276
(941) 964-0158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
05/07/2026
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