Bolden, Alicia Rena
Bolden, Alicia Rena is an individual health care provider with primary practice located at 407 Se 24Th St , Fort Lauderdale FL 33316-3915. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bolden, Alicia Rena can be contacted via phone (954) 467-2140.Contact Information
Primary practice address
407 Se 24Th St
Fort Lauderdale FL 33316-3915
Phone: (954) 467-2140
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9103331 | Florida |
Profile Details
| NPI number | 1538461686 |
|---|---|
| LBN Legal business name | Bolden, Alicia Rena |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2010 |
| Last updated | Nov 23rd, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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