Individual
ALEXANDER JAVIER BOLANOS
Active
Individual
ALEXANDER JAVIER BOLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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