BONITA COMMUNITY HEALTH CENTER INC (NPI# 1922096999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922096999 |
| Entity Type | Organization |
| Organization Name | BONITA COMMUNITY HEALTH CENTER INC |
| Other Organization Name | BONITA COMMUNITY HEALTH |
| Practice Address |
3501 Health Center Blvd Bonita Springs FL 34135-8127 |
| Practice Telephone | 2399491050 |
| Practice Fax Number | 2399496111 |
| Mailing Telephone | 2399491050 |
| Mailing Fax Number | 2399496111 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2008-04-03 |
| Authorized Official Name | MS. MIKE RILEY (CEO) |
| Authorized Official Telephone | 2399496115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 2728516 00 | 05 | |
| FL | AVMED | 274894 | 01 |
| FL | BCBS FLORIDA | 45737 | 01 |
| FL | AETNA | 925030 | 01 |
| Other Name | Type Code |
|---|---|
| BONITA COMMUNITY HEALTH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760459762 | Bonita Community Health Center Inc | Physical Medicine & Rehabilitation | 3501 Health Center Blvd, Estero, FL 34135-8127 | 2006-03-08 |
| 1518955897 | Bonita Community Health Center Inc | Clinic/Center | 3501 Health Center Blvd, Bonita Springs, FL 34135-8127 | 2005-10-11 |
| Street Address |
3501 HEALTH CENTER BLVD |
| City | BONITA SPRINGS |
| State | FL |
| Zip Code | 34135-8127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285633156 | Thomas C Morell | Specialist | 3501 Health Center Blvd, Suite 2140, Bonita Springs, FL 34135-8127 | 2005-07-21 |
| 1134584147 | Robert D. Klausner, Md, Pa | Otolaryngology | 3501 Health Center Blvd, Suite 2240, Bonita Springs, FL 34135-8127 | 2015-12-17 |
| 1184098238 | Guzman-huesca & Perez LLC | Internal Medicine | 3501 Health Center Blvd, Suite 2160, Bonita Springs, FL 34135-8127 | 2015-11-30 |
| 1568838589 | Interventional Rehabilitation of South Florida, Inc. | Anesthesiology | 3501 Health Center Blvd, Bonita Springs, FL 34135-8127 | 2015-08-13 |
| 1619388675 | Nicholas Samuel Testa | Physical Medicine & Rehabilitation | 3501 Health Center Blvd, Bonita Springs, FL 34135-8127 | 2014-05-13 |
| 1194156158 | Gulfcoast Foot and Ankle Center | Podiatrist | 3501 Health Center Blvd, Suite 2150, Bonita Springs, FL 34135-8127 | 2013-12-02 |
| 1760756316 | Estonna Management LLC | Pharmacy | 3501 Health Center Blvd, #1200, Bonita Springs, FL 34135-8127 | 2012-02-29 |
| 1043583370 | Becker Orthopedics | Clinic/Center | 3501 Health Center Blvd, Suite 2440, Bonita Springs, FL 34135-8127 | 2012-02-16 |
| 1194092312 | Carolina Loiza | Massage Therapist | 3501 Health Center Blvd, Bonita Springs, FL 34135 | 2011-11-17 |
| 1386949352 | Joint Replacement Institute LLC | Podiatrist | 3501 Health Center Blvd, Suite 2180, Bonita Springs, FL 34135-8127 | 2011-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063022051 | Td Dental Group LLC | Clinic/Center | 28410 Crossing Blvd, Suit 230, Bonita Springs, FL 34135 | 2020-08-04 |
| 1619591096 | Lucinda Zagnoli | Counselor | 3501 Health Center Blvd Suite 2140, Bonita Springs, FL 34135 | 2020-06-02 |
| 1124649512 | Samantha S Wadas | Occupational Therapist | Solaris Rehab, LLC, 9520 Bonita Beach Rd Se, Bonita Springs, FL 34135 | 2020-04-27 |
| 1245710409 | Carrie Silverman | Hearing Instrument Specialist | 8951 Bonita Beach Rd Se Ste 240, Bonita Springs, FL 34135 | 2018-08-17 |
| 1124513593 | Lee Memorial Health System | Pharmacy | 23450 Via Coconut Point, Estero, FL 34135 | 2018-06-27 |
| 1801303540 | Lee Tasha Perez | Acupuncturist | 8840 Terrene Ct Ste 101, Bonita Springs, FL 34135 | 2018-01-03 |
| 1164942686 | Mind/mood Counseling & Coaching Centers of Swfl, Pllc | Community/Behavioral Health | 9990 Coconut Road, Attn. Emily - Bes Manager, Bonita Springs, FL 34135 | 2017-06-26 |
| 1699295691 | Alfa Brothers Group | Durable Medical Equipment & Medical Supplies | 28161 Pine Haven Way, Apt 135, Bonita Springs, FL 34135 | 2017-06-21 |
| 1992257919 | Lillian Mary Catherine Lienhardt | Physician Assistant | 27390 Tennesse Street, Bonita Springs, FL 34135 | 2016-10-25 |
| 1104277623 | American Spine & Orthopeadic Institute, LLC | Orthopaedic Surgery | 3501 Health Center Blvd Ste 2430, Bonita Springs, FL 34135 | 2016-06-27 |
| Find all providers in zip 34135 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
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| City | BONITA SPRINGS |
| Zip Code | 34135 |
Please comment or provide details below to improve the information on BONITA COMMUNITY HEALTH CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.