Theta Medical Group, LLC
NPI #1962991547 in Bonita Springs, Florida
Provider Information
- NPI Number
- 1962991547
- Entity Type
- Organization
- Organization Name
- Theta Medical Group, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 9, 2018
- Last Updated
- May 9, 2018
Practice Location
- Address
- 23635 VIA CARINO LN
- City
- Bonita Springs
- State
- Florida
- ZIP Code
- 34135-8265
- Phone
- (239) 285-9143
Authorized Official
- Name
- MR. MARLON D ALFARO
- Title
- MANAGING MEMBER
- Phone
- (239) 285-9143
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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