| Intercellular Sciences, LLC | |
|
9500 Bonita Beach Rd. #310 Bonita Springs FL 34135 | |
| (239) 498-9114 | |
| (239) 498-6555 |
| Full Name | Intercellular Sciences, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 9500 Bonita Beach Rd. #310, Bonita Springs, Florida |
| Authorized Official Name and Position | Michael Robert Calcaterra (CEO) |
| Authorized Official Contact | 2394989114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intercellular Sciences, LLC 9500 Bonita Beach Rd. #310 Bonita Springs FL 34135 Ph: (239) 498-9114 | Intercellular Sciences, LLC 9500 Bonita Beach Rd. #310 Bonita Springs FL 34135 Ph: (239) 498-9114 |
| NPI Number | 1245594134 |
|---|---|
| Provider Enumeration Date | 06/26/2012 |
| Last Update Date | 06/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245594134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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