| T Boland Arnp Lmft Phdc Inc | |
|
555 Sw 148th Ave Ste 130 Sunrise FL 33325 | |
| (954) 577-0008 | |
| (954) 577-0339 |
| Full Name | T Boland Arnp Lmft Phdc Inc |
|---|---|
| Speciality | Registered Nurse |
| Location | 555 Sw 148th Ave, Sunrise, Florida |
| Authorized Official Name and Position | Teresa Marie Boland (OWNER) |
| Authorized Official Contact | 9545770008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T Boland Arnp Lmft Phdc Inc 1112 Weston Rd Pmb 186 Weston FL 33326 Ph: (954) 577-0008 | T Boland Arnp Lmft Phdc Inc 555 Sw 148th Ave Ste 130 Sunrise FL 33325 Ph: (954) 577-0008 |
| NPI Number | 1114988607 |
|---|---|
| Provider Enumeration Date | 04/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114988607 | NPI | - | NPPES |
| 0344908900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT1542 (Florida) | Primary |
| 163W00000X | Registered Nurse | ARNP1838792 (Florida) | Primary |
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