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Individual

DR. ROBERT M BOLLET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ED.D.

Contact information

Practice address
661 SEMINOLA BLVD, CASSELBERRY, FL 32707-3057
(407) 678-6655
(407) 657-7211
Mailing address
100 LAMPLIGHTER RD, ALTAMONTE SPRINGS, FL 32714-2041
(407) 657-6262

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY 3058
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
187634
AMERIGROUP
FL
01
6121980
UNITED HEALTH CARE
FL
01
75240
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/20/2006
Last updated
07/08/2007
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