BONITA SPRINGS FAMILY PRACTICE CENTER – NPI #1497938963
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

BONITA SPRINGS FAMILY PRACTICE CENTER is a provider located in ESTERO, FL. NPPES has assigned the NPI number 1497938963 to BONITA SPRINGS FAMILY PRACTICE CENTER on December 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BONITA SPRINGS FAMILY PRACTICE CENTER” is a dba name, the actual legal business name for this organization is RICHARD R. WILSON, D.O.. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 13 years ago on Nov 20, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BONITA SPRINGS FAMILY PRACTICE CENTER below.

NPI Profile for
RICHARD R. WILSON, D.O.

NPI Number
1497938963
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RICHARD R. WILSON, D.O.
Doing Business As (dba): BONITA SPRINGS FAMILY PRACTICE CENTER
Primary location
10201 ARCOS AVE SUITE 202
ESTERO, FL 33928
Phone: (239) 949-1212 Fax: (239) 949-0587
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RICHARD WILSON
DOCTOR/OWNER
Phone: (239) 949-1212
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 FL OS9100

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.