EDGAR B BOLTON JR. (NPI# 1487635462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487635462 |
| Entity Type | Individual |
| Full Name | EDGAR B BOLTON JR. |
| Credential | DO |
| Practice Address |
1900 N University Dr Suite 107 Pembroke Pines FL 33024-3618 |
| Mailing Address |
1512 Se 10th St Fort Lauderdale FL 33316-1420 |
| Practice Telephone | 9544411616 |
| Practice Fax Number | 9547668199 |
| Mailing Telephone | 9544451754 |
| Mailing Fax Number | 9547668199 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2016-02-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
OS2458 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 037708200 | 05 | |
| FL | MEDICARE PTAN | HF850A | 01 |
| Street Address |
1900 N UNIVERSITY DR SUITE 107 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33024-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851647358 | A & R Research Group LLC | Specialist | 1900 N University Dr, Suite Number 110, Pembroke Pines, FL 33024-3618 | 2012-08-02 |
| 1851654529 | Melvyn H. Rech, D.o., P.a. | Orthopaedic Surgery | 1900 N University Dr, Suite 107, Pembroke Pines, FL 33024-3618 | 2012-06-19 |
| 1033123435 | Melvyn H Rech | Orthopaedic Surgery | 1900 N University Dr, Suite 107, Pembroke Pines, FL 33024-3618 | 2006-07-28 |
| 1568449197 | Ian Shane Fong | Dentist | 1900 N University Dr, Ste 201, Pembroke Pines, FL 33024-3618 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396226304 | Adayiba Zamora | Internal Medicine | 10794 Pines Blvd Ste 205, Pembroke Pines, FL 33026-3920 | 2018-08-27 |
| 1124144308 | Natarajan Rajagopalan Md Pa | Internal Medicine | 9618 Pines Blvd, Pembroke Pines, FL 33024-6240 | 2007-03-21 |
| 1306467857 | Vazquez, Md P.a. | Internal Medicine | 10794 Pines Blvd Ste 205, Pembroke Pines, FL 33026-3920 | 2020-05-06 |
| 1457644841 | Raciel Pintado Md Pa | Internal Medicine | 2261 N University Dr, Ste 101, Pembroke Pines, FL 33024-3623 | 2011-05-18 |
| 1295053460 | Professional Medical Associates LLC | Internal Medicine | 2301 N University Dr, Suite# 205, Pembroke Pines, FL 33024-3617 | 2010-05-12 |
| 1043490881 | Patricia Tanya Wade Md, LLC | Internal Medicine | 2301 N University Dr, Suite 207, Pembroke Pines, FL 33024-3617 | 2007-11-09 |
| 1689870727 | Patricia Wade-gibbs | Internal Medicine | 2301 N University Dr, Suite 205, Pembroke Pines, FL 33024 | 2007-06-25 |
| 1043429038 | Pulmonary Associates of Pembroke Pines, Inc | Internal Medicine | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2007-05-22 |
| 1649498635 | Franklin C Anyikwa | Internal Medicine | 2301 N University Dr, Suite 205, Pembroke Pines, FL 33024-3617 | 2007-04-23 |
| 1689898215 | Pulmonary Associates Memorial West | Internal Medicine | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2007-04-13 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33024 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.