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

Edgar B Bolton Jr., DO

Individual provider Pulmonary Disease Physician · NPI 1487635462

Edgar B Bolton Jr., DO is a Pulmonary Disease Physician in Pembroke Pines, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1900 N University Dr Ste 107
Pembroke Pines, FL 33024-3618
Phone: (954) 441-1616
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 OS2458 (FL)

Record details

NPI number1487635462
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedNovember 8, 2005
Last updated in NPPESFebruary 11, 2016
Mailing address1512 Se 10th St, Fort Lauderdale, FL 33316-1420

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