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DR. JOLLY BOSE M.D.

Adult Medicine >> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1619116548

Individual Registrant:
DR. JOLLY  BOSE M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
400 N STATE ROAD 19 SUITE 48 PALATKA, FL 32177-2482 US
Tel: 386-329-8800  Fax: --

Contact information for business:
400 N STATE ROAD 19 SUIT 48 NF/SG VAHS PALATKA CBOC PALATKA, FL 32177-2482 US
Tel: 386-329-8800  Fax: --

Registration Information:
NPI: 1619116548
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207QA0505XAllopathic & Osteopathic Physicians
Family Medicine
Adult Medicine
FLME105828
N2083P0901XAllopathic & Osteopathic Physicians
Preventive Medicine
FLME105828

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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