Individual
DAPHNE BOLIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12649 NEW BRITTANY BLVD, FORT MYERS, FL 33907-3631
(239) 415-7400
Mailing address
PO BOX 368, ESTERO, FL 33929-0368
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014740400
—
FL
Enumeration date
09/02/2016
Last updated
09/02/2016
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