DR. SEAN MATTHEW IDE BOLET MD
NPI 1376394593
Student in an Organized Health Care Education/Training Program in Pembroke Pines, FL

Q: What is Sean Ide Bolet's NPI number?

The NPI number for Sean Ide Bolet is 1376394593. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Q: What is Sean Ide Bolet's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sean Ide Bolet was last updated on March 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 27, 2024PECOS Enrolled

703 N FLAMINGO RD, PEMBROKE PINES, FL 33028(954) 844-4491 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Dr. Sean Matthew Ide Bolet Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SEAN MATTHEW IDE BOLET MD (NPI 1376394593) is an individual student in an organized health care education/training program in Pembroke Pines, Florida and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376394593

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. SEAN MATTHEW IDE BOLETCredential: MD

Location Address703 N FLAMINGO RDPembroke Pines, FL 33028-1006

Mailing Address703 N Flamingo RdPembroke Pines, FL 33028-1006 · (954) 844-4491

Phone(954) 844-4491

Sole ProprietorNo

Enumeration DateMarch 27, 2024

NPPES CertifiedMarch 24, 2024

✔ NPI 1376394593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

703 N FLAMINGO RD, Pembroke Pines, FL 33028

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sean Matthew Ide Bolet Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.