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Vicente A Bolanos I
Massage Therapist in Pembroke Pines, Florida
NPI 1740879527

Vicente A Bolanos I is a Massage Therapist based in Davie, FL. Vicente A Bolanos I practices in Pembroke Pines, FL. The NPI Number for Vicente A Bolanos I is 1740879527 and holds a License No. MA74686 (Florida).

The current practice location address for Vicente A Bolanos I is 501 Nw 103Rd Ave, Pembroke Pines, FL and can be reached out via phone at 954-251-1497 and via fax at 954-404-9537.

Location: 501 Nw 103Rd Ave, Pembroke Pines, FL, 33328-3705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740879527
Provider Name
Vicente A Bolanos I
Credential
Provider Entity Type
Individual
Gender
Male
Address
501 Nw 103Rd Ave, Pembroke Pines, FL, 33328-3705
Phone Number
954-251-1497
Fax Number
954-404-9537
Provider Enumeration Date
01/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
501 Nw 103Rd Ave
City
Pembroke Pines
State
Florida
Zip
33026-3924
Phone Number
954-251-1497
Fax Number
954-404-9537
person
Provider Business Mailing Address Details
Address
501 Nw 103Rd Ave
City
Pembroke Pines
State
Florida
Zip
33026-3924
Phone Number
954-251-1497
Fax Number
954-404-9537
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA74686 (Florida)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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