| NPI | 1922096999 |
|---|---|
| Doing Business As | BONITA COMMUNITY HEALTH |
| Entity Type | Organization |
| Authorized Contact | MIKE RILEY CEO 239-949-6115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2008-04-03 |