Individual
DR. JUAN R BOLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3661 S MIAMI AVENUE, SUITE 1003, MIAMI, FL 33133
(305) 856-4153
(305) 856-4508
Mailing address
3661 S MIAMI AVENUE, SUITE 1003, MIAMI, FL 33133
(305) 856-4153
(305) 856-4508
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
13524
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047013900
—
FL
Enumeration date
06/10/2006
Last updated
02/01/2010
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