Individual
MILAD H BOLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
717 SW MARTIN LUTHER KING JR AVE BLDG 2, OCALA, FL 34471-1435
(813) 666-2714
(352) 565-4131
Mailing address
150 MAGNOLIA AVE, DAYTONA BEACH, FL 32114-4304
(386) 236-3225
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11028320
FL
Other
Enumeration date
11/07/2023
Last updated
11/10/2023
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