Individual
CHRISTOPHER SHAWN BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4020 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442-9416
(855) 226-6633
Mailing address
5800 NW 66TH AVE, PARKLAND, FL 33067-1300
(954) 688-6505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD38256
SC
207R00000X
Internal Medicine Physician
Primary
ME126304
FL
390200000X
Student in an Organized Health Care Education/Training Program
39
NY
Other
Enumeration date
10/16/2012
Last updated
04/03/2023
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