Individual
DR. MELODY BOLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
17782 SW 2ND ST, PEMBROKE PINES, FL 33029-3923
(954) 438-3937
Mailing address
19101 NW 23RD ST, PEMBROKE PINES, FL 33029-5332
(954) 608-2080
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4694
FL
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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