| 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orlando Health Medical Group Inc | 9537059084 | 1810 |
| 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 | |
Daniel Joseph Razzano, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17325 Pagonia Rd, Clermont, FL 34711 Phone: 407-905-6014 Fax: 407-636-7808 | |
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: Medicare Enrolled Practice Location: 1900 Don Wickham Dr, Clermont, FL 34711 Phone: 352-536-8840 |