Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edgar B Bolton DO PA

Organization Pulmonary Disease Physician · NPI 1790122778

Edgar B Bolton DO PA is a Pulmonary Disease Physician in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1512 SE 10th St
Fort Lauderdale, FL 33316-1420
Phone: (954) 445-1754
Fax: (954) 766-8199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence OS 2458 (FL)

Record details

NPI number1790122778
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edgar Bolton — President · (954) 445-1754
NPI enumeratedMay 30, 2013
Last updated in NPPESNovember 6, 2013
Mailing address1512 Se 10th St, Fort Lauderdale, FL 33316-1420

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