Individual
DR. BRIAN BOLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 SAXON BLVD, ORANGE CITY, FL 32763-8468
(407) 200-2355
Mailing address
900 WINDERLEY PL STE 2100, MAITLAND, FL 32751-4191
(407) 200-2355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.018347
OH
2085R0202X
Diagnostic Radiology Physician
64234
WI
2085R0202X
Diagnostic Radiology Physician
Primary
ME150914
FL
Other
Enumeration date
12/06/2010
Last updated
11/02/2021
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