Bolanos, Sandra H

Bolanos, Sandra H is an individual health care provider with primary practice located at 1730 Sw Saint Lucie West Blvd , Port Saint Lucie FL 34986-2504. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Bolanos, Sandra H can be contacted via phone (772) 873-8155.

Contact Information

Primary practice address
1730 Sw Saint Lucie West Blvd Port Saint Lucie FL 34986-2504
Phone: (772) 873-8155
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 207QB0002X 89982967 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0116019794 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME137622 Florida

Profile Details

NPI number 1992968853
LBN Legal business name Bolanos, Sandra H
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Mar 10th, 2019 - about 5 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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