# BOLANOS ASSOCIATES, LLC.

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

## Provider details

- **NPI number:** 1427288851
- **Authorized official:** MRS. JEANETTE ROCA (MANAGING DIRECTOR)
- **Authorized official phone:** (786) 259-0300

## Contact information

- **Practice address:** 1150 NW 72ND AVE STE 720, MIAMI, FL 33126-1932
- **Practice address phone:** (786) 259-0300
- **Practice address fax:** (866) 665-8671
- **Mailing address:** 15751 SHERIDAN ST \# 303, FORT LAUDERDALE, FL 33331-3486
- **Mailing address phone:** (786) 259-0300
- **Mailing address fax:** (866) 665-8671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 07/20/2009
- **Last updated:** 11/10/2025