BONITA MEDICAL CARE CENTER,INC
Marriage and Family Therapists at Old 41 Rd, Bonita Springs, FL

License number
Florida ACN487
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. JACKELINE NUNEZ M.D.
Title: DOCTOR
Phone: (239) 405-7721
Address
Address 2
26455 Old 41 Rd SUITE 18, Bonita Springs, FL 34135
1320 Mariposa Cir APT 104, Naples, FL 34105
National Provider ID: 1639612484
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BONITA MEDICAL CARE CENTER INC

Bonita Springs, FL  -  Naples, FL

Registration:
Jul 23, 2014
Addresses:
26455 Old41 STE 18, Bonita Springs, FL 34135 (Physical)
1244 Carpazi Ct APT 1, Naples, FL 34105 (Mailing)
State ID:
P14000061823
Business type:
Florida Profit Corporation
Vice Presidents:
Jackeline Nunez Valdez (President), 1244 Carpazi Ct #1, Naples, FL 34105 (Physical),Sixto A Villanueva Nunez (Vice President)
Agent:
Nunez Valdez,1244 Carpazi Ct APT 1, Naples, FL 34105 (Physical)
EIN:
47-1427234

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