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Individual

JOSE HUMBERTO BOLANOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7217 GREEN SLOPE DR, ZEPHYRHILLS, FL 33541-1306
(813) 782-5086
(813) 715-4899
Mailing address
7217 GREEN SLOPE DR, ZEPHYRHILLS, FL 33541-1306
(813) 782-5086
(813) 715-4899

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME45625
FL

Other

Enumeration date
07/18/2006
Last updated
07/08/2007
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