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Contact Information

KETSIA BOLIVAR, PHARM.D.
822 NE 125TH ST STE 109
NORTH MIAMI, FL33161-5729
 Phone: 954-861-3761
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Educator

174H00000X
 

Case Manager/Care Coordinator

171M00000X
 

Health & Wellness Coach

171400000X
Indicates primary specialty

NPI Profile & details for KETSIA BOLIVAR · (Female)

NPI Number 1700604386
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 10/01/2024
Last updated 10/01/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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