San Roque, Maria Angelica Bolanos

San Roque, Maria Angelica Bolanos is an sole proprietor health care provider with primary practice located at 1580 Sawgrass Corporate Pkwy Ste 200 , Sunrise FL 33323-2869. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. San Roque, Maria Angelica Bolanos can be contacted via phone (954) 739-4247.

Contact Information

Primary practice address
1580 Sawgrass Corporate Pkwy Ste 200 Sunrise FL 33323-2869
Phone: (954) 739-4247
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X PT4440 New Mexico

Profile Details

NPI number 1336649334
LBN Legal business name San Roque, Maria Angelica Bolanos
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2018
Last updated Feb 15th, 2018 - about 6 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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