Edgar B Bolton Do Pa

LBN: Edgar B Bolton Do Pa
Edgar B Bolton Do Pa is an health care organization with primary practice located at 1512 Se 10Th St , Fort Lauderdale FL 33316-1420. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as the primary health care specialty. Edgar B Bolton Do Pa can be contacted via phone (954) 445-1754, or through Bolton, Edgar B via phone (954) 445-1754.

Contact Information

Primary practice address
1512 Se 10Th St Fort Lauderdale FL 33316-1420
Phone: (954) 445-1754
Fax: (954) 766-8199
Website:
Map and Directions
Authorized official contact:
Name: Bolton, Edgar B Doctor of Osteopathy (DO)
Phone: (954) 445-1754

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X OS 2458 Florida

Profile Details

NPI number 1790122778
LBN Legal business name Edgar B Bolton Do Pa
DBA Doing business as
Authorized official Bolton, Edgar B Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2013
Last updated Nov 6th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790122778 NPPES
Florida MEDICAID 037708200

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