Bolt RX LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BOLT RX LLC

Practice address

6245 N Federal Hwy Ste 303
Fort Lauderdale, FL 33308-1915

Phone

(954) 388-9889

NPI assigned

Mar 4, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sean Doughtery

Title

Owner

Phone

(954) 388-9889

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1770118317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 N FEDERAL HWY STE 303",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081915",
            "telephone_number": "954-388-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 N FEDERAL HWY STE 303",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081915",
            "telephone_number": "954-388-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLT RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "DOUGHTERY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-388-9889"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lidia Bojorge
• Bolanos-McMahan, LLC.
• Michael Bolanos, M.D.
• Oscar R Bolanos, D.D.S.
• Alicia Rena Bolden, PA-C
• Brett Bolton, D,O
• Kanthi Bommareddy, MD
• Ira Bond Jr., PT,DPT
• Leah Michelle Bonds, BCBA
• Norma Lorena Bonilla, APRN

• Durable Medical Equipment & Medical Supplies in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.