Individual
NAHED KALAM BOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5463 COMMERCIAL WAY, SPRING HILL, FL 34606-1110
(352) 596-3338
(352) 597-3986
Mailing address
5141 DEER PARK DR, STE 1C, NEW PORT RICHEY, FL 34653-7013
(727) 847-2406
(727) 841-0567
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 3351
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000745200
—
FL
01
—
65069
BCBS-FL
FL
01
—
P00807405
RR MEDICARE
FL
01
—
P00955965
RR MCR ATTACHED TO GRP# DR6927
FL
Enumeration date
05/02/2008
Last updated
06/04/2024
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