Individual
NATHANIEL MATTHEW BOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18167 US HIGHWAY 19 N STE 650, CLEARWATER, FL 33764-6576
(727) 437-3530
(727) 498-1159
Mailing address
18167 US HIGHWAY 19 N STE 650, CLEARWATER, FL 33764-6576
(727) 437-3530
(727) 498-1159
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME118640
FL
Other
Enumeration date
06/22/2010
Last updated
07/17/2014
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