YAOLEN BOLANOS
Medical Practice at 21 St, Hollywood, FL

License number
Florida 104624
Issued Date
May 26, 2009
Effective Date
May 26, 2009
Expiration Date
Jan 31, 2019
Category
Health Care
Type
Medical Doctor
Address
Address
13876 NW 21St St, Hollywood, FL 33028
Phone
(954) 579-9058

Organization information

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YAOLEN BOLANOS MD PA

13876 NW 21, Hollywood, FL 33028

Registration:
Oct 21, 2013
State ID:
P13000086197
Business type:
Florida Profit Corporation
Presidents:
Md Bolanos, 13876 NW 21, Hollywood, FL 33028 (Physical),Yaolen Bolanos (President)
Agent:
Bolanos, Yaolen,13876 NW 21, Hollywood, FL 33028 (Physical)
EIN:
46-5062331