EDWARD DE JESUS BOLANOS

MIRAMAR, FL
NPI1073895017
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: FL  AA97)
Enumeration Date2011-09-15
Last Update Date2021-03-29
Business Address
EDWARD DE JESUS BOLANOS CAA
1901 SW 172ND AVE
MIRAMAR, FL 33029-5592
Phone number: 954-838-2371
Mailing Address
EDWARD DE JESUS BOLANOS CAA
7700 W SUNRISE BLVD
PLANTATION, FL 33322-4113
Phone number: 954-838-2371
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