Individual
DR. ANTHONY PETER BOLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4014 COMMONS DR W, UNIT 114, DESTIN, FL 32541-8423
(850) 654-8770
(850) 654-1056
Mailing address
4014 COMMONS DR W, UNIT 114, DESTIN, FL 32541-8423
(850) 654-8770
(850) 654-1056
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10105
FL
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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