Bolanos, Rodrigo A
Bolanos, Rodrigo A is an individual health care provider with primary practice located at 200 Avenue F Ne Ste 9118 , Winter Haven FL 33881-4131. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bolanos, Rodrigo A can be contacted via phone (863) 297-1777.Contact Information
Primary practice address
200 Avenue F Ne Ste 9118
Winter Haven FL 33881-4131
Phone: (863) 297-1777
Fax: (863) 297-1756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 200300224 | North Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2003-00224 | North Carolina |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 200300224 | North Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME121741 | Florida |
Profile Details
| NPI number | 1962504456 |
|---|---|
| LBN Legal business name | Bolanos, Rodrigo A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 4th, 2006 |
| Last updated | Nov 3rd, 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 | 1962504456 | NPPES |
| North Carolina | MEDICAID | 5909815 | |
| North Carolina | Other | 1962504456 | |
| North Carolina | MEDICAID | 013541400 | |
| North Carolina | Other | P00665200 | |
| North Carolina | Other | 143NK | |
| North Carolina | Other | N0022E |
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