Organization Active NPI

Bolesta Center, Inc.

  • Speech-Language Pathologist
  • Tampa, FL
National Provider Identifier
1194821561
Registry record updated Oct 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA559 Issued in FL
Legal business name
BOLESTA CENTER, INC.
Practice address
7205 N Habana Ave
Tampa, FL 33614-4372
Phone
(813) 932-1184
Fax
(813) 932-9583
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wendy J Solmonson
Title
Office Manager
Phone
(813) 932-1184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA559 FL Primary

Addresses

Primary practice location

7205 N Habana Ave
Tampa, FL 33614-4372

Mailing address

7205 N Habana Ave
Tampa, FL 33614-4372
Phone (813) 932-1184

National Provider Directory

National Provider Directory

Locations

7205 N Habana Ave
Tampa, FL 33614
Phone (813) 932-1184

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224288000000",
    "number": "1194821561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144372",
            "telephone_number": "813-932-1184",
            "fax_number": "813-932-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144372",
            "telephone_number": "813-932-1184",
            "fax_number": "813-932-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLESTA CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-10-18",
        "status": "A",
        "authorized_official_last_name": "SOLMONSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-932-1184"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.