Candice Bolan in Jacksonville - Diagnostic Radiology
Candice Bolan - NPI 1912102831
Candice Bolan is a Diagnostic Radiology in Jacksonville, Florida. Candice Bolan practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Candice Bolan is 1912102831. The last update date is 2020-09-01.
Candice Bolan's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Candice Bolan is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candice Bolan |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1912102831 |
|---|---|
| Provider Enumeration Date | 2007-06-20 |
| Last Updated Date | 2020-09-01 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049532000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | ME109564 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Candice Bolan by the Centers for Medicare & Medicaid Services?
The Candice Bolan has been issued the NPI (National Provider Identifier) 1912102831, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Candice Bolan is physically located?
The Candice Bolan is situated at the following address: 4500 San Pablo Rd S, Jacksonville, FL 322241865.
What is the area of specialization for Candice Bolan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Candice Bolan is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.
When did Candice Bolan receive its 1912102831 assignment?
The Candice Bolan was assigned its 1912102831 on 2007-06-20, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Candice Bolan most recently updated or revised?
The details related to Candice Bolan, including its address, specialty, and other relevant information, were last updated or revised on 2020-09-01.