Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Alicia Rena Bolden, PA-C

Individual provider Medical Physician Assistant · NPI 1538461686

Mrs. Alicia Rena Bolden, PA-C is a Medical Physician Assistant in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

407 SE 24th St
Fort Lauderdale, FL 33316-3915
Phone: (954) 467-2140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9103331 (FL)

Record details

NPI number1538461686
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 23, 2010
Last updated in NPPESNovember 23, 2010

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