Individual
ANDREW BOLTUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
430 MORTON PLANT ST STE 301, CLEARWATER, FL 33756-3395
(727) 461-6026
Mailing address
5901 E FOWLER AVE STE 100, TEMPLE TERRACE, FL 33617-2305
(813) 978-9700
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS15092
FL
Other
Enumeration date
07/07/2015
Last updated
03/21/2025
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