Alexander Javier Bolanos, MD | |
2080 Oakley Seaver Dr, Clermont, FL 34711-1962 | |
(321) 841-6444 | |
(407) 290-2118 |
Full Name | Alexander Javier Bolanos |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 12 Years |
Location | 2080 Oakley Seaver Dr, Clermont, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578900619 | NPI | - | NPPES |
107239600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | TRN19046 (Florida) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | ME143891 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Orlando Health South Lake Hospital | Clermont, FL | Hospital |
Orlando Health | Orlando, FL | Hospital |
Health Central | Ocoee, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orlando Health Medical Group Inc | 9537059084 | 1478 |
Entity Name | Orlando Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
Entity Name | St Vincent's Ambulatory Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
Mailing Address | Practice Location Address |
---|---|
Alexander Javier Bolanos, MD 2080 Oakley Seaver Dr, Clermont, FL 34711-1962 Ph: (321) 841-6444 | Alexander Javier Bolanos, MD 2080 Oakley Seaver Dr, Clermont, FL 34711-1962 Ph: (321) 841-6444 |
Dr. April Louise Oxford, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Don Wickham Dr, Clermont, FL 34711 Phone: 352-536-8840 Fax: 352-536-8841 | |
Rupinder Preet Kaur, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Don Wickham Dr, Clermont, FL 34711 Phone: 352-536-8840 Fax: 352-536-8841 | |
Sung Woong Park, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Don Wickham Dr, Clermont, FL 34711 Phone: 525-368-8303 Fax: 352-236-8841 | |
Dr. Alejandro A Victoria, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 235 Hatteras Avenue, Suite 100, Clermont, FL 34711 Phone: 352-242-0676 Fax: 352-242-1335 | |
Dr. Gopal R. Kunta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2737 Citrus Tower Blvd, Clermont, FL 34711 Phone: 352-242-1366 | |
Dr. Kerry-anne Sherie Machado, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Don Wickham Dr, Clermont, FL 34711 Phone: 352-536-8840 | |
Mitchell Milstein, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1900 Don Wickham Dr, Clermont, FL 34711 Phone: 352-536-8840 Fax: 352-536-8841 |