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:
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Health care specialties

SpecialtyCodeLicense #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 18 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 1558335885 NPPES
Florida MEDICAID 273499100

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