Bolanos, Michael

Bolanos, Michael is an individual health care provider with primary practice located at 1625 Se 3Rd Ave Ste 300 , Fort Lauderdale FL 33316-2521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Bolanos, Michael can be contacted via phone (954) 355-4665.

Contact Information

Primary practice address
1625 Se 3Rd Ave Ste 300 Fort Lauderdale FL 33316-2521
Phone: (954) 355-4665
Fax: (954) 355-4881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME139818 Florida

Profile Details

NPI number 1063708600
LBN Legal business name Bolanos, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2011
Last updated Oct 20th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063708600 NPPES
Florida Other Q01047319 MEDICARE RR
Florida Other UP666 MEDICARE RR
Florida MEDICAID 103651500 MEDICARE RR

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