Dr. Sandra H Bolanos, MD, PHD
Dr. Sandra H Bolanos, MD, PHD is a Family Practice in Port Saint Lucie, Florida. Graduated from University of Texas Southwestern Medical School at Dallas in 2007, 19 years ago. Practices with Indian River Health Services Inc, a 332-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Virginia.
- Years since qualifying
- 19
- Trained at
- University of Texas Southwestern Medical School at Dallas
- Licensed in
- FL, VA
- In the registry since
- 2008
- Specialties on file
- 3
What do these letters mean?
Practice location Address checks out
1730 SW Saint Lucie West BlvdPort Saint Lucie, FL 34986-2504
Phone: (772) 873-8155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3745 Holland Rd, Virginia Beach, VA 23452-2847 — (757) 395-1700
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence ME137622 (FL) |
|---|---|
| Obesity Medicine (Family Medicine) Physician | Taxonomy 207QB0002X · Licence 89982967 (VA) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 0116019794 (VA) |
Record details
| NPI number | 1992968853 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD , PHD |
| Sole proprietor | No |
| NPI enumerated | July 9, 2008 |
| Last updated in NPPES | March 10, 2019 |
| Mailing address | 1730 Sw Saint Lucie West Blvd, Port Saint Lucie, FL 34986-2504 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduated | 2007 (19 years in practice) |
| Group practice | Indian River Health Services Inc — 332 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |