Individual
DR. JOLLY BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 N STATE ROAD 19, SUITE 48, PALATKA, FL 32177-2482
(386) 329-8800
Mailing address
400 N STATE ROAD 19, SUIT 48 NF/SG VAHS PALATKA CBOC, PALATKA, FL 32177-2482
(386) 329-8800
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME105828
FL
2083P0901X
Public Health & General Preventive Medicine Physician
ME105828
FL
Other
Enumeration date
02/17/2009
Last updated
03/29/2013
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