ALICE BOLTON PA


Address: 2750 Bahia Vista, Ste 108, Sarasota, FL 34239-2636
Phone: 9419541101

ALICE BOLTON PA (NPI# 1346544558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346544558
Entity Type Organization
Organization Name ALICE BOLTON PA
Practice Address 2750 Bahia Vista
Ste 108
Sarasota
FL 34239-2636
Mailing Address 2577 Ednor St
Port Charlotte
FL 33952-4335
Practice Telephone 9419541101
Mailing Telephone 9416290282
Enumeration Date 2011-01-03
Last Update Date 2011-01-03
Authorized Official Name MS. ALICE BOLTON (OWNER)
Authorized Official Telephone 9416290282
Authorized Official Credential ARNP,MS,CS,BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
ARNP478692 FL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL BC/BS Y3362 01

Office Location

Street Address 2750 BAHIA VISTA,
STE 108
City SARASOTA
State FL
Zip Code 34239-2636

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City SARASOTA
Zip Code 34239

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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