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Organization
BOLANOS ASSOCIATES, LLC.
Active
Organization
BOLANOS ASSOCIATES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANETTE ROCA (MANAGING DIRECTOR)
(786) 259-0300
Entity
Organization
Contact information
Practice address
1150 NW 72ND AVE STE 720, MIAMI, FL 33126-1932
(786) 259-0300
(866) 665-8671
Mailing address
15751 SHERIDAN ST # 303, FORT LAUDERDALE, FL 33331-3486
(786) 259-0300
(866) 665-8671
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
OT9463
FL
174400000X
Specialist
OT9463
FL
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/20/2009
Last updated
11/10/2025
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