Boloczko, Sylvia

Boloczko, Sylvia is an individual health care provider with primary practice located at 16860 Us Highway 441 , Mount Dora FL 32757-6713. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Boloczko, Sylvia can be contacted via phone (352) 432-8443.

Contact Information

Primary practice address
16860 Us Highway 441 Mount Dora FL 32757-6713
Phone: (352) 432-8443
Fax: (844) 388-6186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME151089 Florida

Profile Details

NPI number 1063400893
LBN Legal business name Boloczko, Sylvia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Oct 11th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063400893 NPPES
Michigan MEDICAID 4543980

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