BOLANOS-MCMAHAN LLC. NPI 1922246610

NPI Information

  • NPI: 1922246610
  • Provider Name: BOLANOS-MCMAHAN, LLC.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 401 E LAS OLAS BLVD STE 130-451
    FORT LAUDERDALE, FL
    ZIP 33301
  • Phone: (561) 891-9148

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NPI Details

BOLANOS-MCMAHAN, LLC. is a specialist in Fort Lauderdale, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BOLANOS-MCMAHAN, LLC. NPI is 1922246610. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

401 E LAS OLAS BLVD STE 130-451
FORT LAUDERDALE, FL
ZIP 33301-210
Phone: (561) 891-9148
Fax: (954) 607-5852

The provider's authorized official is Jennifer Lynn Mcmahan .
The authorized official title is Mgrm and has the following contact phone number (561) 891-9148.

The enumeration date for this NPI number is 2/3/2009 and was last updated on 7/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorNo
2174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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