Bolumen, Eduardo Fausto

Bolumen, Eduardo Fausto is an sole proprietor health care provider with primary practice located at 12650 Sw 33Rd St , Miramar FL 33027-2913. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Bolumen, Eduardo Fausto can be contacted via phone (954) 437-3423.

Contact Information

Primary practice address
12650 Sw 33Rd St Miramar FL 33027-2913
Phone: (954) 437-3423
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME0065418 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0065418 Florida

Profile Details

NPI number 1174582639
LBN Legal business name Bolumen, Eduardo Fausto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2006
Last updated Feb 9th, 2021 - about 3 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 1174582639 NPPES
Florida MEDICAID 3743268-00

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