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Organization
HERNAN DIAZ BOLANO MD PA
Active
Organization
HERNAN DIAZ BOLANO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERNAN DIAZ BOLANO MD (OWNER/PHYSICIAN)
(786) 394-3429
Entity
Organization
Contact information
Practice address
8600 SW 92ND ST, SUITE 101, MIAMI, FL 33156-7397
(786) 394-3429
(305) 503-8545
Mailing address
8200 MILLER DR, MIAMI, FL 33155-5423
(786) 394-3429
(305) 503-8545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44883
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069781800
—
FL
Enumeration date
04/20/2010
Last updated
04/20/2010
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