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Individual

LUIS ALBERTO PENARANDA BOLANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4725 N FEDERAL HIGHWAY, FT LAUDERDALE, FL 33308
(954) 938-3359
(954) 492-5790

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME172953
FL

Other

Enumeration date
04/13/2022
Last updated
07/01/2025
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