DR. AUGUSTINE A BOLLO DPM NPI 1134191588

NPI Information

NPI: 1134191588
Provider Name: DR. AUGUSTINE A BOLLO, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Address:
17779 SW 2ND ST
PEMBROKE PINES, FL
ZIP 33029
Phone: (954) 450-0099
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DR. Augustine A Bollo, DPM is a foot and ankle surgery podiatrist in Pembroke Pines, FL. DR. Augustine A Bollo, DPM NPI is 1134191588. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17779 SW 2ND ST
PEMBROKE PINES, FL
ZIP 33029-924
Phone: (954) 450-0099
Fax: (450) 450-0022

The enumeration date for this NPI number is 2/1/2006 and was last updated on 1/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO 0002570	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U65272	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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