Individual
DR. EDUARDO FAUSTO BOLUMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 HILDA ST STE 10, KISSIMMEE, FL 34741-2359
(407) 574-4848
(407) 518-1919
Mailing address
201 HILDA ST STE 10, KISSIMMEE, FL 34741-2359
(407) 574-4848
(404) 518-1919
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0065418
FL
208D00000X
General Practice Physician
ME0065418
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3743268-00
—
FL
Enumeration date
03/22/2006
Last updated
08/23/2025
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