Search › Florida › 224Z00000X
Kimmichael Bolognini, COTA/L
NPI 1871108340 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2793 Kingsmill Ave
Melbourne, FL 32934 - Phone
- (321) 626-3699
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida