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Michael
Michael
Bolanos
Thoracic surgery (cardiothoracic...
Medical doctor
Lake Worth,
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Florida Health Care Practitioner Data Portal
Full name
MICHAEL BOLANOS
Job Title
Medical Doctor
Location
Atlantis, FL, USA
LIC ID
142302
Current License Expiration Date
31/01/2025
Original Date
19/03/2019
Professional Rank Code
ME
Effective Date
19/03/2019
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
PALM BEACH
Practice Location Address Line 1
180 JFK Drive
Practice Location Address Line 2
Suite 320
Practice Location Address City
ATLANTIS
Practice Location Address State
FL
Practice Location Address Zipcode
33462
Mode Code
NICA Exempt, In Training Program Receives Fee Reducti
Prescribing Indicator
N
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