| 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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