Individual
DR. BRETT BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D,O
Contact information
Practice address
2715 E OAKLAND PARK BLVD, SUITE 200, FORT LAUDERDALE, FL 33306-1659
(954) 567-5868
(954) 567-5869
Mailing address
PO BOX 11664, FORT LAUDERDALE, FL 33339-1664
(954) 567-5868
(954) 567-5869
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
0S0007493
FL
208D00000X
General Practice Physician
Primary
DO 1256
TN
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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