DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SANDRA H BOLANOS, MD, PHD

Active

DR. SANDRA H BOLANOS, MD, PHD is a Family Medicine healthcare provider located in PORT SAINT LUCIE, Florida. NPI 1992968853 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PORT SAINT LUCIE, FL

Registration Details

NPI Number
1992968853
Provider Type
Individual
Gender
Female
NPI Issued
Jul 9, 2008 (18.058255358258 yrs)
Last Updated
Mar 10, 2019
Licenses
89982967 (VA)
0116019794 (VA)
ME137622 (FL)

Practice Information

Address
1730 SW SAINT LUCIE WEST BLVD
PORT SAINT LUCIE, FL, 349862504
Browse FL providers · Browse ZIP 34986
Phone
7728738155
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in PORT SAINT LUCIE, FL

Name Credential NPI
LINDA FAY DELO DO PA 1225033848
DR. DOMINIC J TOTANI D.O. 1396734646
DR. DEAN RONALD GALLUPE D.O. 1700828431
DR. NESTOR LACAYO MD 1508872037
DR. KIMBERLY ELLIS D.O. 1891703476
DR. EDWARD K KANKAM D.O. 1114085842
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.