BONITA COMMUNITY HEALTH CENTER INC
Ambulatory Health at Health Center Blvd, Bonita Springs, FL

License number
Florida 1116
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MR. MIKE RILEY
Title: CEO
Phone: (239) 949-1050
Address
Address
3501 Health Center Blvd, Bonita Springs, FL 34135
National Provider ID: 1518955897
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BONITA COMMUNITY HEALTH CENTER, INC

3501 Health Ctr Blvd, Bonita Springs, FL 34135

Status:
Inactive
Industry:
Home Health Care Services
Doing business as:
Bonita Ambulatory Surgery Cent<br>Bonita Ambulatory Surgery Ctr
Inactive reason:
AMENDMENT
Registration:
Jul 27, 1998
Inactive since:
Mar 4, 2011
Phone:
(239) 949-1050 (Phone)
State ID:
N98000004321
Business type:
Florida Not For Profit Corporation
Directors:
Phillip Dutcher, 350 7 St N, Naples, FL 34102 (Physical),Kevin Cooper (Director), 350 7 St N, Naples, FL 34102 (Physical),Suzanne Bradach (Director), 8300 College Pkwy SUITE 200, Fort Myers, FL 33919 (Physical),...
Agent:
Cooper, Kevin,C/O Nch Healthcare System, Naples, FL 34102 (Physical)
EIN:
593544102
SIC6:
808200 - Home health care service
Company size:
70

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