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Organization
3XS PLLC
Active
Organization
3XS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWANDY BOLIS M.D. (PHYSICIAN)
(352) 796-5102
Entity
Organization
Contact information
Practice address
17222 HOSPITAL BLVD, SUITE 242, BROOKSVILLE, FL 34601-8925
(352) 796-5102
(352) 796-2144
Mailing address
14391 SPRING HILL DR, SUITEE 444, SPRING HILL, FL 34609-8199
(352) 796-5102
(352) 796-2144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME102757
FL
213E00000X
Podiatrist
PO3351
FL
Other
Enumeration date
10/25/2013
Last updated
10/25/2013
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