DR. AUGUSTINE A BOLLO (NPI# 1134191588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134191588 |
| Entity Type | Individual |
| Full Name | DR. AUGUSTINE A BOLLO |
| Credential | DPM |
| Practice Address |
17779 Sw 2nd St Pembroke Pines FL 33029-3924 |
| Practice Telephone | 9544500099 |
| Practice Fax Number | 4504500022 |
| Mailing Telephone | 9544500099 |
| Mailing Fax Number | 9544479499 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2015-01-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO 0002570 | FL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
17779 SW 2ND ST |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33029-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184176653 | Royal Palm Beach Rehab, Corp. | Neuromusculoskeletal Medicine, Sports Medicine | 17779 Sw 2nd St, Pembroke Pines, FL 33029-3924 | 2016-10-31 |
| 1902235971 | Tyler Lane Vail | Physician Assistant | 17779 Sw 2nd St, Pembroke Pines, FL 33029-3924 | 2013-11-11 |
| 1770837148 | All-pro Orthopedics and Sports Medicine Pa | Orthopaedic Surgery | 17779 Sw 2nd St, Pembroke Pines, FL 33029-3924 | 2012-11-06 |
| 1396865788 | Jesse Shaw | Orthopaedic Surgery | 17779 Sw 2nd St, Pembroke Pines, FL 33029-3924 | 2007-03-30 |
| 1700825601 | Jennifer Nieves-cunningham | Nurse Practitioner | 17779 Sw 2nd St, Pembroke Pines, FL 33029-3924 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418981 | Whole Life Distributors | Clinical Nurse Specialist | 1055 Nw 187th Avenue, Pembroke Pines, FL 33029 | 2019-07-03 |
| 1295215507 | Rise N Shine Pharmacy Inc | Pharmacy | 17913 Nw 7 Street, Suite 104, Pembroke Pines, FL 33029 | 2018-08-16 |
| 1124505631 | Ivabella Alexandre | Nurse Practitioner | 17590 Sw 29th Ct, Miramar, FL 33029 | 2018-07-26 |
| 1346735883 | Ally Suzanne Montero | Specialist/Technologist | 18549 Sw 50th Ct, Miramar, FL 33029 | 2018-06-27 |
| 1386144046 | Alfonso Chie | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029 | 2018-02-19 |
| 1316454960 | Danay Rodriguez-arritola | Registered Nurse | 1501 Sw 186 Ave, Pembroke Pines, FL 33029 | 2018-01-04 |
| 1316456528 | Orestes Mederos | Student in an Organized Health Care Education/Training Program | 17429 Sw 54 St, Miramar, FL 33029 | 2017-09-20 |
| 1508389644 | Konfetti Kidz Therapy | Occupational Therapy Assistant | 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 | 2017-07-20 |
| 1215458765 | Nilien Cruz Palenzuela | Behavior Technician | 18024 Nw 21st St, Pembroke Pines, FL 33029 | 2017-07-05 |
| 1033650288 | Best Onsite Therapy Services, Inc. | Home Health | 18541 Sw 43rd Street, Miramar, FL 33029 | 2017-03-20 |
| Find all providers in zip 33029 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124340435 | Bush Foot & Ankle LLC | Podiatrist | 1640 Sw 148th Ter, Pembroke Pines, FL 33027-2355 | 2010-02-28 |
| 1841443843 | Stacy Holder Shewprashad | Podiatrist | 1791 Nw 123rd Ave, Pembroke Pines, FL 33026-4383 | 2008-11-04 |
| 1477740694 | Shanika L Hill | Podiatrist | 1671 Sw 120th Ave, Pembroke Pines, FL 33025-3788 | 2007-10-02 |
| 1386851822 | George Schwenck Dpm Pa | Podiatrist | 17751 Sw 2nd St, Pembroke Pines, FL 33029-3924 | 2007-05-16 |
| 1356561377 | Florida Foot & Ankle Associates, LLC | Podiatrist | 601 N. Flamingo Rd, Suite 414, Pembroke Pines, FL 33028-1015 | 2007-05-01 |
| 1902947674 | Daniel Bell | Podiatrist | 601 N Flamingo Rd Ste 208, Pembroke Pines, FL 33028-1009 | 2007-02-08 |
| 1033265533 | Leah Hilary Ford | Podiatrist | 18832 Nw 12th Ct, Pembroke Pines, FL 33029-2953 | 2007-01-26 |
| 1568510709 | Jorge M Rivera | Podiatrist | 17901 Nw 5th St Ste 106, Pembroke Pines, FL 33029-2810 | 2007-01-06 |
| 1528079787 | Michael A Rivera | Podiatrist | 601 N Flamingo Rd Ste 414, Pembroke Pines, FL 33028-1012 | 2006-08-11 |
| 1487606182 | Avriel Barnet Cohen | Podiatrist | 2299 N University Dr, Pembroke Pines, FL 33024-3611 | 2006-05-17 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33029 |
Please comment or provide details below to improve the information on DR. AUGUSTINE A BOLLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.