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REGENCE HEALTHCARE INC NPI 1013104728


NPI Information

NPI: 1013104728
Provider Name: REGENCE HEALTHCARE INC

Doing Business As: COLONNADE, REGENCE MEDICAL CENTER

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
9500 BONITA BEACH RD SE
SUITE 310
BONITA SPRINGS, FL
ZIP 34135
Phone: (239) 498-9114
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REGENCE HEALTHCARE INC is a cardiovascular disease internal medicine in Bonita Springs, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. REGENCE HEALTHCARE INC NPI is 1013104728. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Colonnade, Regence Medical Center.

The provider's business location address is:

9500 BONITA BEACH RD SE
SUITE 310
BONITA SPRINGS, FL
ZIP 34135-698
Phone: (239) 498-9114
Fax: (239) 498-6555

The provider's authorized official is Zannos Giorgios Grekos .
The authorized official title is President and has the following contact phone number (239) 498-9114.

The enumeration date for this NPI number is 9/26/2007 and was last updated on 8/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1250770600MEDICAIDFLORIDA
2K0089OTHERFLORIDAPPAN
332176MEDICARE PINFLORIDA
4G32255MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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