Individual
DR. LUKE BOLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8932 SW 97H AVE, SOUTH WING, MIAMI, FL 33176-1936
(305) 243-5512
(305) 243-4613
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
ME98885
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME98885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0314542
—
OH
05
—
279088200
—
FL
Enumeration date
02/26/2007
Last updated
03/22/2024
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