Organization
JUAN R. BOLET, M.D.P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN R BOLET MD (PRESIDENT)
(305) 856-4153
Entity
Organization
Contact information
Practice address
1800 PURDY AVE, APT. 1408, MIAMI BEACH, FL 33139-1465
(305) 856-4153
(786) 275-6990
Mailing address
1800 PURDY AVE, APT. 1408, MIAMI BEACH, FL 33139-1465
(305) 856-4153
(786) 275-6990
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
02/04/2010
Last updated
10/07/2015
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