Individual
EDGAR B BOLTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1900 N UNIVERSITY DR, SUITE 107, PEMBROKE PINES, FL 33024-3618
(954) 441-1616
(954) 766-8199
Mailing address
1512 SE 10TH ST, FORT LAUDERDALE, FL 33316-1420
(954) 445-1754
(954) 766-8199
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
OS2458
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037708200
—
FL
01
—
HF850A
MEDICARE PTAN
FL
Enumeration date
11/08/2005
Last updated
02/11/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us