Individual
ALEXANDER JAVIER BOLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2080 OAKLEY SEAVER DR, CLERMONT, FL 34711-1962
(321) 841-6444
(407) 290-2118
Mailing address
2080 OAKLEY SEAVER DR, CLERMONT, FL 34711-1962
(321) 841-6444
(407) 290-2118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN19046
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME143891
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107239600
—
FL
Enumeration date
05/30/2013
Last updated
01/11/2023
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