Mr Nicolas Alonzo Bolanos, MED, EDS - Counselor in Fort Myers, FL

Mr Nicolas Alonzo Bolanos, MED, EDS is a Counselor based in Fort Myers, Florida. Mr Nicolas Alonzo Bolanos is licensed to practice in Florida (license number IMH9380) and his current practice location is 4150 Ford Street Extension, Fort Myers, Florida. He can be reached at his office (for appointments etc.) via phone at (239) 461-8388.

NPI number for Mr Nicolas Alonzo Bolanos is 1932442837 and his current mailing address is 4150 Ford Street Extention, Fort Myers, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932442837.

Contact Information

Mr Nicolas Alonzo Bolanos, MED, EDS
4150 Ford Street Extension,
Fort Myers, FL 33916
(239) 461-8388
(239) 790-5121

Map and Direction


Healthcare Provider's Profile

Full NameMr Nicolas Alonzo Bolanos
GenderMale
SpecialityCounselor
Location4150 Ford Street Extension, Fort Myers, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1932442837
  • Provider Enumeration Date: 03/29/2013
  • Last Update Date: 03/29/2013

Medical Identifiers

Medical identifiers for Mr Nicolas Alonzo Bolanos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932442837NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor IMH9380 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Nicolas Alonzo Bolanos is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Nicolas Alonzo Bolanos, MED, EDS
4150 Ford Street Extention,
Fort Myers, FL 33916

Ph: (239) 461-8388
Mr Nicolas Alonzo Bolanos, MED, EDS
4150 Ford Street Extension,
Fort Myers, FL 33916

Ph: (239) 461-8388

Reviews and Comments


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