Individual
DR. PETER J BOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
836 PRUDENTIAL DRIVE, STE 1804, JACKSONVILLE, FL 32207-8345
(904) 398-3888
(904) 400-6675
Mailing address
836 PRUDENTIAL DRIVE, STE 1804, JACKSONVILLE, FL 32207-8345
(904) 398-3888
(904) 400-6675
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
40825
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME162343
FL
Other
Enumeration date
01/16/2006
Last updated
03/31/2025
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