Individual
AUNGELIQUE JOAN BOLDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8251 W BROWARD BLVD STE 300, PLANTATION, FL 33324-2703
(954) 475-9244
(954) 475-0848
Mailing address
8251 W BROWARD BLVD STE 300, PLANTATION, FL 33324-2703
(954) 475-9244
(954) 475-0848
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111588
FL
363A00000X
Physician Assistant
—
FL
Other
Enumeration date
09/11/2018
Last updated
01/14/2022
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