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NPI Code Detail

MEDICARE: LIANNE BOLANOS

MEDICARE:   LIANNE  BOLANOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist70003FL

General Provider Information

NPI Number : 1659236966
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIANNE BOLANOS
Provider Business Mailing Address
First Line : 2599 SW 147TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33185-4081
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2599 SW 147TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33185-4081
Country : US
Telephone Number : 305-207-3868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2025
Last Update Date : 12/18/2025

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Directions to “ LIANNE BOLANOS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.