Organization
LEELA R BOLLA MD MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEELA R BOLLA M.D. (OWNER)
(239) 597-0544
Entity
Organization
Contact information
Practice address
1890 SW HEALTH PKWY, SUITE #100, NAPLES, FL 34109-0473
(239) 597-0544
(239) 597-8644
Mailing address
1890 SW HEALTH PKWY, SUITE #100, NAPLES, FL 34109-0473
(239) 597-0544
(239) 597-8644
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME79879
FL
Other
Enumeration date
10/12/2007
Last updated
07/28/2008
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