Bonita Medical Care Center,Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ACN487 Issued in FL

Legal business name

BONITA MEDICAL CARE CENTER,INC

Practice address

26455 Old 41 Rd
Suite 18
Bonita Springs, FL 34135-5124

Phone

(239) 405-7721

Fax

(239) 405-7692

NPI assigned

Nov 28, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jackeline Nunez, M.D.

Title

Doctor

Phone

(239) 405-7721

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1639612484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 MARIPOSA CIR APT 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341057231",
            "telephone_number": "239-273-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26455 OLD 41 RD",
            "address_2": "SUITE 18",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341355124",
            "telephone_number": "239-405-7721",
            "fax_number": "239-405-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA MEDICAL CARE CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "JACKELINE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "239-405-7721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HV2572",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonita Dermatology, P.a.
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• Bonita Family Care, Inc
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• Bonita Health & Healing Corp
• Bonita Palm Dental
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• Bonita Spring Chiropractic Associates
• Bonita Springs Chiropractic Corp
• Bonita Springs Edc Management LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.