# HERNAN DIAZ-BOLANO MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023336930
- **Authorized official:** HERNAN DIAZBOLANO MD.D (PRESIDENT)
- **Authorized official phone:** (786) 394-3429

## Contact information

- **Practice address:** 8200 MILLER DR, MIAMI, FL 33155-5423
- **Practice address phone:** (786) 394-3429
- **Practice address fax:** (305) 503-8545
- **Mailing address:** 8200 MILLER DR, MIAMI, FL 33155-5423
- **Mailing address phone:** (786) 394-3429
- **Mailing address fax:** (305) 503-8545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 44883 | FL | Yes |

## Other

- **Enumeration date:** 05/17/2010
- **Last updated:** 05/17/2010
