Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vicente A Bolanos I

Individual provider Massage Therapist · NPI 1740879527

Vicente A Bolanos I is a Massage Therapist in Pembroke Pines, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021
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Practice location Address checks out

501 NW 103rd Ave
Pembroke Pines, FL 33026-3924
Phone: (954) 251-1497
Fax: (954) 404-9537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA74686 (FL)

Record details

NPI number1740879527
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 15, 2021
Last updated in NPPESJanuary 15, 2021
Certification dateJanuary 15, 2021
Mailing address4791 Sw 82nd Ave, Davie, FL 33328-3705

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