Individual
DR. RODRIGO A BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 AVENUE F NE STE 9118, WINTER HAVEN, FL 33881-4131
(863) 297-1777
(863) 297-1756
Mailing address
200 AVENUE F NE STE 9118, WINTER HAVEN, FL 33881-4131
(863) 292-4004
(863) 292-4005
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME121741
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013541400
—
FL
01
—
143NK
BC/BS NC PROVIDER #
—
01
—
1962504456
MEDCOST PROVIDER #
—
05
—
5909815
—
NC
01
—
N0022E
SOUTH CAROLINA MEDICAID
SC
01
—
P00665200
RAILROAD MEDICARE PROV#
—
Enumeration date
09/04/2006
Last updated
09/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us