Bolan, Peter J

Bolan, Peter J is an individual health care provider with primary practice located at 836 Prudential Drive, Ste 1804 , Jacksonville FL 32207-8345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Bolan, Peter J can be contacted via phone (904) 398-3888.

Contact Information

Primary practice address
836 Prudential Drive, Ste 1804 Jacksonville FL 32207-8345
Phone: (904) 398-3888
Fax: (904) 400-6675
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME162343 Florida
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 40825 Georgia

Profile Details

NPI number 1174502314
LBN Legal business name Bolan, Peter J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Oct 2nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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