| Organization Name: | BONITA HEALTH & HEALING CORP |
| NPI Number: | 1083908123 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY ANN ZAWADA (CHIROPRACTOR) |
| Mailing Address: | 28331 S Tamiami Trl Suite 2 Bonita Springs |
| State: | FL US |
| Postal Code: | 341343215 |
| Phone Number: | 2396767269 |
| Fax Number: | 2396767275 |
| NPI Enumeration Date: | 06/07/2011 |
| NPI Last Update Date: | 06/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | MM 26978 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |