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Organization

BOLANOS ASSOCIATES, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JEANETTE ROCA (MANAGING DIRECTOR)
(786) 259-0300
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
OT9463
FL
174400000X
Specialist
OT9463
FL
225100000X
Physical Therapist
225X00000X
Occupational Therapist
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
07/20/2009
Last updated
11/10/2025
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