Individual
DR. WILLIAM E BOLGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6817 SOUTHPOINT PKWY STE 502, JACKSONVILLE, FL 32216-6289
(904) 595-7475
Mailing address
6817 SOUTHPOINT PKWY STE 502, JACKSONVILLE, FL 32216-6289
(904) 595-7475
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
D60607
MD
207Y00000X
Otolaryngology Physician
Primary
ME104254
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001371600
—
FL
05
—
253536000
—
FL
05
—
415096100
—
MD
Enumeration date
06/13/2006
Last updated
04/10/2018
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