SearchFlorida363A00000X

Pedro Bolanos

NPI 1932713047 · on the registry since 2020 · sole proprietor

Practice

Address
460 Alexandra Cir
Weston, FL 33326
Phone
(201) 747-3830

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
PR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida