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General NPI Number Information
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NPI Number | 1255359956
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Entity Type | Individual
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Provider Name | JOHN W BOLLINGER MD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 2895 HUELAND POND BLVD STE 100
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-7504
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Country | US
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Telephone | 813-279-7107
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Fax | 813-973-1090
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Provider Business Mailing Address
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Address Line | PO BOX 102222
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City | ATLANTA
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State | GA
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Zip | 30368-2222
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Country | US
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Telephone | 239-274-8200
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 6730
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 44163
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ME125782
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License Number State | FL
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