Organization
J.BOLARAM,MD &ASSOCIATES,P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYANTH BOLARAM M.D. (DIRECTOR)
(863) 214-3230
Entity
Organization
Contact information
Practice address
6801 US HIGHWAY 27 N, SUITE A2, SEBRING, FL 33870-7840
(863) 214-3230
Mailing address
2643 WYNDSOR OAKS WAY, WINTER HAVEN, FL 33884-3080
(863) 214-3230
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME92560
FL
Other
Enumeration date
04/25/2011
Last updated
01/05/2015
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