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Search › Florida › 208G00000X

Peter Bolan, MD

NPI 1174502314 · on the registry since 2006

Practice

Address
836 Prudential Drive, Ste 1804
Jacksonville, FL 32207
Phone
(904) 398-3888
Fax
(904) 400-6675
Organisation at this address
Walgreen Co
Faben Obg Inc
Lyerly Baptist Inc
Lyerly Baptist Inc
Florida Woman Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
228

Registry record

Primary taxonomy
208G00000X
208G00000X
Also registered as
208G00000X
Licence states on file
GA, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida