Organization · Type 2 NPI
Bolanos Concierge Medicine LLC
Primary Care Clinic/Center · Pembroke Pines, FL
NPI number
1740139690
Active
Practice location
12105 Taft St
Pembroke Pines, FL 33026-1957
Fax (954) 416-6283
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1740139690
Bolanos Concierge Medicine LLC's National Provider Identifier is 1740139690, issued on Jan 23, 2026. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Pembroke Pines, FL. The record was last updated on Jan 23, 2026.