Organization
BOLESTA CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY J SOLMONSON (OFFICE MANAGER)
(813) 932-1184
Entity
Organization
Contact information
Practice address
7205 N HABANA AVE, TAMPA, FL 33614-4372
(813) 932-1184
(813) 932-9583
Mailing address
7205 N HABANA AVE, TAMPA, FL 33614-4372
(813) 932-1184
(813) 932-9583
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA559
FL
Other
Enumeration date
09/15/2006
Last updated
10/18/2008
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