Provider Demographics
NPI:1962280941
Name:BOLAND NEUROLOGY, LLC
Entity type:Organization
Organization Name:BOLAND NEUROLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:FINLEY
Authorized Official - Last Name:BOLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:850-741-5990
Mailing Address - Street 1:14 W JORDAN ST STE 134
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-1740
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14 W JORDAN ST STE 134
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-1740
Practice Address - Country:US
Practice Address - Phone:850-741-5990
Practice Address - Fax:850-741-5991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty