Alice Bolton PA
Clinic/Center, Mental Health (Including Community Mental Health Center) in Sarasota, FL. Organization (NPI-2).
NPI number1346544558
StatusActive
Last updated in NPPESJan 3, 2011
Details
- NPI
- 1346544558
- Entity type
- Organization (NPI-2)
- Legal business name
- Alice Bolton PA
- Organization subpart
- No
- Enumeration date
- Jan 3, 2011
- Last updated
- Jan 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | ARNP478692 | FL | Yes |
Practice location
2750 Bahia Vista,Ste 108
Sarasota, FL 34239-2636
Phone 941-954-1101
Mailing address
2577 Ednor StPort Charlotte, FL 33952-4335
Phone 941-629-0282
Authorized official
Alice Bolton
Owner
9416290282
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