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EDGAR B BOLTON DO PA
NPI 1790122778
Internal Medicine - Pulmonary Disease in Fort Lauderdale, FL

Active since May 30, 2013
1512 SE 10TH ST, FORT LAUDERDALE, FL 33316(954) 445-1754(954) 766-8199 Get Directions Write a Review

NPPES record last updated: November 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgar B Bolton Do Pa NPPES

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

EDGAR B BOLTON DO PA (NPI 1790122778) is a healthcare organization registered as a pulmonary disease in Fort Lauderdale, Florida and active in the NPI registry since May 2013. The organization lists Edgar B Bolton, President, as its authorized official.

NPPES Registry Identity

NPI1790122778
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameEDGAR B BOLTON DO PA
Location Address1512 SE 10TH STFort Lauderdale, FL 33316-1420
Mailing Address1512 Se 10th StFort Lauderdale, FL 33316-1420 · (954) 445-1754 · Fax (954) 766-8199
Phone(954) 445-1754
Fax(954) 766-8199
Organization SubpartNo
Authorized OfficialEdgar B BoltonPresident · (954) 445-1754
Enumeration DateMay 30, 2013
Last NPPES UpdateNovember 6, 2013
✔ NPI 1790122778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in FL · OS 2458
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1512 SE 10TH ST, Fort Lauderdale, FL 33316
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Other Identifiers 2

Medicare UPINE12175FL
Medicaid037708200FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgar B Bolton Do PA's NPI number?

The NPI number for Edgar B Bolton Do PA is 1790122778. It was assigned to this organization in the NPPES registry on May 30, 2013.

Where is Edgar B Bolton Do PA located?

Edgar B Bolton Do PA is located at 1512 SE 10th St, Fort Lauderdale, FL 33316. The listed phone number is (954) 445-1754.

What is Edgar B Bolton Do PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Edgar B Bolton Do PA was last updated on November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.