PHC Management Services, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PHC MANAGEMENT SERVICES, LLC

Practice address

23750 Via Trevi Way
Bonita Springs, FL 34134-7184

Phone

(330) 533-6197

NPI assigned

Oct 10, 2008

Last updated

Oct 10, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

PRIMA HEALTH CARE, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Steven M Demaiolo, DO

Title

Ceo

Phone

(330) 533-6197

Specialties & licenses 1

Addresses

Part of

Prima Health Care LLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1124270988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23750 VIA TREVI WAY",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347184",
            "telephone_number": "330-533-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23750 VIA TREVI WAY",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347184",
            "telephone_number": "330-533-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHC MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMA HEALTH CARE, LLC",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "DEMAIOLO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-533-6197",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark E Petrites, MD
• Gregory Asher Pette, D.M.D., M.S.
• William A. Pettinger, M.D.
• Jacqueline Pettit, DPT
• Todd A Pezzi, MD
• Phyllis Walters, PH.D.
• Physiotherapy Associates Inc.
• Sophia Pierre Pierre Philippe
• Pilot Healthcare P.L.
• Pilot Healthcare P.L.

• Internal Medicine Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.