# BOLESTA CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194821561
- **Authorized official:** WENDY J SOLMONSON (OFFICE MANAGER)
- **Authorized official phone:** (813) 932-1184

## Contact information

- **Practice address:** 7205 N HABANA AVE, TAMPA, FL 33614-4372
- **Practice address phone:** (813) 932-1184
- **Practice address fax:** (813) 932-9583
- **Mailing address:** 7205 N HABANA AVE, TAMPA, FL 33614-4372
- **Mailing address phone:** (813) 932-1184
- **Mailing address fax:** (813) 932-9583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | SA559 | FL | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 10/18/2008