Dr Eduardo Fausto Bolumen, MD | |
12650 Sw 33rd St, Miramar, FL 33027-2913 | |
(954) 437-3423 | |
Not Available |
Full Name | Dr Eduardo Fausto Bolumen |
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Gender | Male |
Speciality | General Practice |
Location | 12650 Sw 33rd St, Miramar, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174582639 | NPI | - | NPPES |
3743268-00 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME0065418 (Florida) | Primary |
208000000X | Pediatrics | ME0065418 (Florida) | Secondary |
Entity Name | Bright Mental Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649856089 PECOS PAC ID: 4688062433 Enrollment ID: O20211027001322 |
Entity Name | My Florida Community Health Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043801970 PECOS PAC ID: 8426447566 Enrollment ID: O20211111001480 |
Mailing Address | Practice Location Address |
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Dr Eduardo Fausto Bolumen, MD 12650 Sw 33rd St, Miramar, FL 33027-2913 Ph: (954) 437-3423 | Dr Eduardo Fausto Bolumen, MD 12650 Sw 33rd St, Miramar, FL 33027-2913 Ph: (954) 437-3423 |
Heather Stewart, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 3601 Sw 160th Ave Ste 250, Miramar, FL 33027 Phone: 954-399-4673 | |
Aimee Gonzalez, MD General Practice Medicare: Medicare Enrolled Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 877-866-7123 Fax: 855-855-2792 | |
Faisal Amin, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 877-866-7123 | |
Csaba Mihaly, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 877-866-7123 | |
Sergio Balcazar, MD General Practice Medicare: Medicare Enrolled Practice Location: 5062 Sw 139 Terr, Miramar, FL 33027 Phone: 954-494-0391 | |
Gary Dean Myers, General Practice Medicare: Medicare Enrolled Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 877-866-7123 |