Bolanos, Edward De Jesus

Bolanos, Edward De Jesus is an individual health care provider with primary practice located at 1901 Sw 172Nd Ave , Miramar FL 33029-5592. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Bolanos, Edward De Jesus can be contacted via phone (954) 838-2371.

Contact Information

Primary practice address
1901 Sw 172Nd Ave Miramar FL 33029-5592
Phone: (954) 838-2371
Fax: (954) 851-1746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X AA97 Florida

Profile Details

NPI number 1073895017
LBN Legal business name Bolanos, Edward De Jesus
Credentials CAA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2011
Last updated Mar 29th, 2021 - about 4 years ago

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.

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