Abao, Anne Marie Bolivar

Abao, Anne Marie Bolivar is an sole proprietor health care provider with primary practice located at 1610 Ne Miami Gardens Dr , N Miami Beach FL 33179-4900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Abao, Anne Marie Bolivar can be contacted via phone (305) 940-6016.

Contact Information

Primary practice address
1610 Ne Miami Gardens Dr N Miami Beach FL 33179-4900
Phone: (305) 940-6016
Fax: (305) 940-6167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME122636 Florida

Profile Details

NPI number 1194118422
LBN Legal business name Abao, Anne Marie Bolivar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2015
Last updated Sep 8th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194118422 NPPES
Florida MEDICAID 014994300

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