Individual
ENGELBERTO J BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HAS
Contact information
Practice address
114 N 46TH AVE, HOLLYWOOD, FL 33021-6602
(954) 963-1934
Mailing address
114 N 46TH AVE, HOLLYWOOD, FL 33021-6602
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS918
FL
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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