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

Edward De Jesus Bolanos, CAA

Individual provider Anesthesiologist Assistant · NPI 1073895017

Edward De Jesus Bolanos, CAA is an Anesthesiology Assistant in Miramar, Florida. Qualified in 2011, 15 years ago. Practices with Sheridan Healthcorp Inc, a 959-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2011

Practice location Address checks out

1901 SW 172nd Ave
Miramar, FL 33029-5592
Phone: (954) 838-2371
Fax: (954) 851-1746
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence AA97 (FL)

Record details

NPI number1073895017
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedSeptember 15, 2011
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021
Mailing address7700 W Sunrise Blvd, Plantation, FL 33322-4113

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Sheridan Healthcorp Inc — 959 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Miramar