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Organization
CAREDOC LLC
Active
Organization
CAREDOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN BOLES (OWNER)
(228) 236-3872
Entity
Organization
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 265-1323
Mailing address
1302 44TH AVE, GULFPORT, MS 39501-2552
(228) 236-3872
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
09/08/2026
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