Edward De Jesus Bolanos, CAA

Anesthesiologist Assistant · Miramar, FL

Individual Active NPI

NPI number 1073895017

Practice location

1901 SW 172ND Ave
Miramar, FL 33029-5592
Phone
(954) 838-2371
Fax
(954) 851-1746

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NPI record

NPI
1073895017
Entity type
Individual (Type 1)
Enumeration date
September 15, 2011
Last updated
March 29, 2021
Certified
March 29, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiologist Assistant Primary 367H00000X AA97 FL

Mailing address

7700 W Sunrise Blvd
Plantation, FL 33322-4113
Phone
(954) 838-2371
Fax
(954) 851-1746

About Edward Bolanos

Edward De Jesus Bolanos, CAA is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiologist Assistant (code 367H00000X). The practice location is 1901 SW 172ND Ave, Miramar, FL 33029-5592. The NPI number 1073895017 was assigned on September 15, 2011 and the record was last updated on March 29, 2021.

Edward Bolanos lists a license in the registry: #AA97 (FL) for Anesthesiologist Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Edward De Jesus Bolanos, CAA?

The NPI number is 1073895017.

What is the phone number of Edward Bolanos?

The phone number listed for the practice location is (954) 838-2371.

Where is Edward Bolanos located?

1901 SW 172ND Ave, Miramar, FL 33029-5592.

What is the taxonomy code for Edward Bolanos?

The primary taxonomy code is 367H00000X – Anesthesiologist Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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