| J.bolaram,md &associates,p.a | |
|
6801 Us Highway 27 N Suite A2 Sebring FL 33870-7840 | |
| (863) 214-3230 | |
| Not Available |
| Full Name | J.bolaram,md &associates,p.a |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6801 Us Highway 27 N, Sebring, Florida |
| Authorized Official Name and Position | Jayanth Bolaram (DIRECTOR) |
| Authorized Official Contact | 8632143230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J.bolaram,md &associates,p.a 2643 Wyndsor Oaks Way Winter Haven FL 33884-3080 Ph: (863) 214-3230 | J.bolaram,md &associates,p.a 6801 Us Highway 27 N Suite A2 Sebring FL 33870-7840 Ph: (863) 214-3230 |
| NPI Number | 1558652586 |
|---|---|
| Provider Enumeration Date | 04/25/2011 |
| Last Update Date | 01/05/2015 |
| Medicare PECOS PAC ID | 0446413454 |
|---|---|
| Medicare Enrollment ID | O20120531000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558652586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME92560 (Florida) | Primary |
| Provider Name | Jayanth Bolaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336251016 PECOS PAC ID: 1254325095 Enrollment ID: I20090226000537 |
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