Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER J BOLAN, MD
ActiveDR. PETER J BOLAN, MD is a Thoracic Surgery (Cardiothoracic Vascular) healthcare provider located in JACKSONVILLE, Florida. NPI 1174502314 is currently active in the NPPES registry. Verify at CMS.
Thoracic Surgery (Cardiothoracic Vascular) · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1174502314
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2006 (20.601658815554 yrs)
- Last Updated
- Mar 31, 2025
- Licenses
-
40825 (GA)ME162343 (FL)
Practice Information
- Address
-
836 PRUDENTIAL DRIVE, STE 1804JACKSONVILLE, FL, 322078345Browse FL providers · Browse ZIP 32207
- Phone
- 9043983888
- Fax
- 9044006675
- Primary Specialty
-
Thoracic Surgery (Cardiothoracic Vascular)
208G00000X
- Additional Specialty
- Thoracic Surgery (Cardiothoracic Vascular)
Other Thoracic Surgery (Cardiothoracic Vascular) Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| RAYMOND LEE | MD | 1407858749 |
| CHARLES DONALDSON COUSAR | M.D. | 1548262694 |
| MICHAEL KENNETH BLUETT | M.D. | 1619979861 |
| DR. MARK A MOSTOVYCH | MD | 1043212269 |
| JOHN PETER PIRRIS | M.D. | 1215939400 |
| DR. GIANCARLO BERTOZZI | MD | 1578560835 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.