Active NPI
Bolesta Center, Inc.
- Speech-Language Pathologist
- Tampa, FL
National Provider Identifier
1194821561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA559
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryLocations
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.
-
- Developmental Therapist
- Tampa, FL
- NPI 1780820175
-
- Early Intervention Provider Agency
- Lakeland, FL
- NPI 1356660245
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.