| NPI | 1497938963 |
|---|---|
| Doing Business As | BONITA SPRINGS FAMILY PRACTICE CENTER |
| Entity Type | Organization |
| Authorized Contact | RICHARD R WILSON Doctor/Owner 239-949-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL OS9100) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2013-11-20 |