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Individual

SUZANNE BOLTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1500 INDEPENDENCE BLVD, SARASOTA, FL 34234-2135
(941) 371-4799
(941) 379-0555
Mailing address
1500 INDEPENDENCE BLVD, SARASOTA, FL 34234-2135
(941) 371-4799
(941) 379-0555

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN 1017112
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN 1017112
RN
FL
Enumeration date
01/25/2012
Last updated
01/25/2012
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