Provider First Line Business Practice Location Address:
BONITA COMMUNITY HEALTH CENTER
Provider Second Line Business Practice Location Address:
3501 HEALTH CENTER BLVD
Provider Business Practice Location Address City Name:
ESTERO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34135
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
239-949-6152
Provider Business Practice Location Address Fax Number:
239-949-6104
Provider Enumeration Date:
04/16/2006