Bolivar, Juan Manuel
Bolivar, Juan Manuel is an individual health care provider with primary practice located at 50 W Stutervant Street , Orlando FL 32806-4000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Bolivar, Juan Manuel can be contacted via phone (407) 649-6907.Contact Information
Primary practice address
50 W Stutervant Street
Orlando FL 32806-4000
Phone: (407) 649-6907
Fax: (407) 481-2035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | ME75602 | Florida |
Profile Details
| NPI number | 1558335885 |
|---|---|
| LBN Legal business name | Bolivar, Juan Manuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558335885 | NPPES |
| Florida | MEDICAID | 273499100 |
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