Bolet, Juan R

Bolet, Juan R is an sole proprietor health care provider with primary practice located at 3661 S Miami Avenue Suite 1003, Miami FL 33133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bolet, Juan R can be contacted via phone (305) 856-4153.

Contact Information

Primary practice address
3661 S Miami Avenue Suite 1003 Miami FL 33133
Phone: (305) 856-4153
Fax: (305) 856-4508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 13524 Florida

Profile Details

NPI number 1225079056
LBN Legal business name Bolet, Juan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2006
Last updated Feb 1st, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225079056 NPPES
Florida MEDICAID 047013900

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