Edgar B Bolton in Fort Lauderdale - Pulmonary Disease

Edgar B Bolton - NPI 1487635462

Edgar B Bolton is a Pulmonary Disease in Fort Lauderdale, Florida. Edgar B Bolton practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Edgar B Bolton is 1487635462. The last update date is 2016-02-11.

Edgar B Bolton's current location address is 1512 Se 10th St, Fort Lauderdale, Florida. You can contact this provider via phone number 9544451754 and fax number 9547668199. The mailing address for Edgar B Bolton is 1512 Se 10th St, Fort Lauderdale, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Edgar B Bolton
Address 1512 Se 10th St, Fort Lauderdale, Florida
Phone Number 9544451754
Fax Number 9547668199
Sole Proprietor Y
Credentials DO

NPI Number Detail

NPI Number 1487635462
Provider Enumeration Date 2005-11-08
Last Updated Date 2016-02-11

Provider Mailing Address Detail

Address 1512 Se 10th St
City Fort Lauderdale
State Florida (FL)
Post Code 333161420
Phone Number 9544451754
Fax Number 9547668199

Provider's Primary Taxonomy Detail

Speciality Pulmonary Disease
Taxonomy 207Rp1001X
Licence No OS2458
Definition:
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
37708200 FL --
HF850A FL MEDICARE PTAN

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FAQs about Edgar B Bolton

What is the unique identifier code issued to Edgar B Bolton by the Centers for Medicare & Medicaid Services?

The Edgar B Bolton has been assigned the NPI (National Provider Identifier) 1487635462. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Edgar B Bolton's facilities are situated?

The facilities of Edgar B Bolton are physically located at the following address: 1512 Se 10Th St, Fort Lauderdale, FL, 333161420.

What is Edgar B Bolton's specialized field of practice, and what is the corresponding taxonomy classification code?

The Edgar B Bolton's area of specialization is Pulmonary Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Rp1001X.

When did Edgar B Bolton receive its 1487635462 assignment?

The Edgar B Bolton was assigned its 1487635462 on 2005-11-08, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Edgar B Bolton, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Edgar B Bolton, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-02-11.

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