Individual
DOUGLAS E BOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1337 COUNTRY CLUB RD, GULF BREEZE, FL 32563-3451
(850) 735-4907
(850) 735-4907
Mailing address
4730 N HABANA AVE STE 204, TAMPA, FL 33614-7148
(813) 549-2134
(813) 864-4436
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME91494
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME91494
FL
208VP0000X
Pain Medicine Physician
ME91494
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME91494
FL
Other
Enumeration date
03/08/2006
Last updated
09/06/2024
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