Individual provider · NPI-1

Andrew Boltuch, D.O.

Orthopaedic Surgery · Clearwater, FL

NPI number1265815450
StatusActive
Last updated in NPPESMar 21, 2025

Details

NPI
1265815450
Entity type
Individual (NPI-1)
Name
Andrew Boltuch
Credential
D.O.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 7, 2015
Certification date
Mar 21, 2025
Last updated
Mar 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic SurgeryOS15092FLYes

Practice location

430 Morton Plant St Ste 301
Clearwater, FL 33756-3395

Phone 727-461-6026

Mailing address

5901 E Fowler Ave Ste 100
Temple Terrace, FL 33617-2305

Phone 813-978-9700

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