Provider Demographics
NPI:1578368858
Name:BMUC HOLDINGS INC
Entity type:Organization
Organization Name:BMUC HOLDINGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNALEE
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOWLES
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:239-318-5620
Mailing Address - Street 1:24520 PRODUCTION CIR STE 3
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-7029
Mailing Address - Country:US
Mailing Address - Phone:239-319-5620
Mailing Address - Fax:
Practice Address - Street 1:24520 PRODUCTION CIR STE 3
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-7029
Practice Address - Country:US
Practice Address - Phone:239-319-5620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care