| Boland Neurology, Llc | |
|
14 W Jordan St Ste 134 Pensacola FL 32501-1740 | |
| (850) 741-5990 | |
| (850) 741-5991 |
| Full Name | Boland Neurology, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 14 W Jordan St Ste 134, Pensacola, Florida |
| Authorized Official Name and Position | Deborah Finley Boland (OWNER) |
| Authorized Official Contact | 8507415990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boland Neurology, Llc 14 W Jordan St Ste 134 Pensacola FL 32501-1740 Ph: () - | Boland Neurology, Llc 14 W Jordan St Ste 134 Pensacola FL 32501-1740 Ph: (850) 741-5990 |
| NPI Number | 1962280941 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Medicare PECOS PAC ID | 8921455338 |
|---|---|
| Medicare Enrollment ID | O20231107001300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962280941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Deborah F Boland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093976680 PECOS PAC ID: 6709011505 Enrollment ID: I20141029001235 |
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