| NPI | 1528149424 |
|---|---|
| Other Name | BONITA SPRINGS FAMILY PRACTICE CENTER |
| Entity Type | Organization |
| Authorized Contact | RICHARD REID WILSON Doctor 239-949-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2013-09-30 |