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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BOUALI FREDERICK AMOLI, D.M.D. M.D.

Active Sole Proprietor

DR. BOUALI FREDERICK AMOLI, D.M.D. M.D. is a Oral & Maxillofacial Surgery healthcare provider located in JACKSONVILLE, Florida. NPI 1306073754 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · JACKSONVILLE, FL

Registration Details

NPI Number
1306073754
Provider Type
Individual
Gender
Male
NPI Issued
Jun 12, 2009 (17.133380063126 yrs)
Last Updated
Feb 23, 2015
Licenses
DRP781 (FL)
ME119684 (FL)
DN 21029 (FL)
Sole Proprietor
Yes

Practice Information

Address
5149 NORMANDY BLVD UNIT 4
JACKSONVILLE, FL, 322054861
Browse FL providers · Browse ZIP 32205
Phone
9047811201
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in JACKSONVILLE, FL

Name Credential NPI
DR. MARVIN C WELLS D.M.D. 1063416055
JAMES EDWARD CHERRY D.M.D. 1225021363
DR. MICHAEL LOUIS MIDDLEBROOKS D.M.D. 1700879442
DR. ANDREW L SKIGEN DMD 1194702316
DR. DENNIS MORRIS MAHAN D.M.D. 1952389066
DR. SAMIRA MEYMAND DDS/MPH 1629048160
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.