Bolanos, Alexander Javier
Bolanos, Alexander Javier is an sole proprietor health care provider with primary practice located at 2080 Oakley Seaver Dr , Clermont FL 34711-1962. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Bolanos, Alexander Javier can be contacted via phone (321) 841-6444.Contact Information
Primary practice address
2080 Oakley Seaver Dr
Clermont FL 34711-1962
Phone: (321) 841-6444
Fax: (407) 290-2118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | TRN19046 | Florida |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME143891 | Florida |
Profile Details
| NPI number | 1578900619 |
|---|---|
| LBN Legal business name | Bolanos, Alexander Javier |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2013 |
| Last updated | Jan 11th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578900619 | NPPES |
| Florida | MEDICAID | 107239600 |
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