Bonita Community Health Center Inc
Organization Active NPI Physical Medicine & Rehabilitation Physician · Estero, FL
NPI 1760459762 · NPPES record last updated Apr 3, 2019
Key facts
- NPI
- 1760459762
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- PT 21826 (FL)
- Legal business name
- BONITA COMMUNITY HEALTH CENTER INC
- Practice address
- 3501 Health Center Blvd
Estero, FL 34135-8127 - Phone
- (239) 949-1050
- NPI assigned
- Mar 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael Riley
- Title
- Ceo
- Phone
- (239) 949-1050
Member of 2
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | PT 21826 | FL | Yes |
Addresses
Primary practice location
3501 Health Center Blvd
Estero, FL 34135-8127
Mailing address
3501 Health Center Blvd
Bonita Springs, FL 34135-8127
Phone (239) 949-1050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45737 | Other | FL | BCBS FLORIDA |
Other names
- BONITA COMMUNITY REHAB CENTER
Other providers in Estero, FL
- BNT Care Dynamics LLC
- Elizabeth Joyce Bogaty
- Jayme Nicole Bolander
- Kristen Elizabeth Bolomey
- Eliana Bonaguro
- Jeffrey Book
- Scott Allen Booth
- John Russell Bowen
- Boyrer Chiropractic P a
- Michael G Boyrer
All providers in Estero, FL · Physical Medicine & Rehabilitation Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.