Dr JOHN D BOLLA is a male medical professional, specializing in Family Medicine. He graduated in 1982.
MEMORIAL HOSPITAL FLAGLER INC
60 MEMORIAL MEDICAL PKWY
PALM COAST
FL
321645980
Tel:
| Npi | 1396723581 |
| Pac Id | 3173681780 |
| Professional Enrollment Id | I20081027000578 |
| Last Name | BOLLA |
| First Name | JOHN |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | MEMORIAL HOSPITAL FLAGLER INC |
| Group Practice Pac Id | 1759371594 |
| Number Of Group Practice Members | 47 |
| Line 1 Street Address | 60 MEMORIAL MEDICAL PKWY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PALM COAST |
| State | FL |
| Zip Code | 321645980 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 100118 |
| Hospital Affiliation Lbn 1 | FLORIDA HOSPITAL FLAGLER |
| Hospital Affiliation Ccn 2 | 100068 |
| Hospital Affiliation Lbn 2 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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