| Leela R Bolla Md Medical Associates Pa | |
|
1890 Sw Health Pkwy Suite #100 Naples FL 34109-0473 | |
| (239) 597-0544 | |
| (239) 597-8644 |
| Full Name | Leela R Bolla Md Medical Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1890 Sw Health Pkwy, Naples, Florida |
| Authorized Official Name and Position | Leela R Bolla (OWNER) |
| Authorized Official Contact | 2395970544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leela R Bolla Md Medical Associates Pa 1890 Sw Health Pkwy Suite #100 Naples FL 34109-0473 Ph: (239) 597-0544 | Leela R Bolla Md Medical Associates Pa 1890 Sw Health Pkwy Suite #100 Naples FL 34109-0473 Ph: (239) 597-0544 |
| NPI Number | 1487842696 |
|---|---|
| Provider Enumeration Date | 10/12/2007 |
| Last Update Date | 07/28/2008 |
| Medicare PECOS PAC ID | 6901972470 |
|---|---|
| Medicare Enrollment ID | O20080906000135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487842696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | ME79879 (Florida) | Primary |
| Provider Name | Leela R Bolla |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1275641326 PECOS PAC ID: 4880678531 Enrollment ID: I20040619000045 |
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