Cambridge Medical Clinic of Florida, LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

CAMBRIDGE MEDICAL CLINIC OF FLORIDA, LLC

Practice address

3501 Health Springs Blvd #2130
Bonita Springs, FL 34135

Phone

(800) 333-1980

Fax

(636) 326-9735

NPI assigned

Jan 30, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jon P Hendricks

Title

President

Phone

(800) 333-1980

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1669610564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S HIGHWAY DR STE 305",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262042",
            "telephone_number": "800-333-1980",
            "fax_number": "636-326-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 HEALTH SPRINGS BLVD #2130",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "34135",
            "telephone_number": "800-333-1980",
            "fax_number": "636-326-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE MEDICAL CLINIC OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-333-1980",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmund David Brundell, DC
• Kyle Aaron Burton, M.D.
• Maria Ximena Bustamante, PA-C
• C M Wallace DDS PA
• Zaida Camba
• Malliany Camejo Leonor
• Tiffany Marie Candy
• Leydis Cantillo
• Yensi Capaz
• Cape Coral Eye Center, P.a.

• Urology Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.