NPI 1063708600
Michael Bolanos, MD
Practice location
- Address
- 1625 SE 3rd Ave STE 300, Fort Lauderdale, FL 33316-2521
- Phone
- (954) 355-4665
- Fax
- (954) 355-4881
- Mailing address
- 1608 SE 3rd Ave Fl 3, Fort Lauderdale, FL 33316-2564
Registered specialties
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Registry record
- NPI
- 1063708600
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Jun 2011
- Record last updated
- 20 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.