Alice Bolton Pa | |
2750 Bahia Vista, Ste 108 Sarasota FL 34239-2636 | |
(941) 954-1101 | |
Not Available |
Full Name | Alice Bolton Pa |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2750 Bahia Vista,, Sarasota, Florida |
Authorized Official Name and Position | Alice Bolton (OWNER) |
Authorized Official Contact | 9416290282 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alice Bolton Pa 2577 Ednor St Port Charlotte FL 33952-4335 Ph: (941) 629-0282 | Alice Bolton Pa 2750 Bahia Vista, Ste 108 Sarasota FL 34239-2636 Ph: (941) 954-1101 |
NPI Number | 1346544558 |
---|---|
Provider Enumeration Date | 01/03/2011 |
Last Update Date | 01/03/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346544558 | NPI | - | NPPES |
Y3362 | Other | FL | BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | ARNP478692 (Florida) | Primary |
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