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NPI Code Detail

MEDICARE: MR. DAVID ANTHONY BOLLINGER R.EEGT,

MEDICARE: MR. DAVID ANTHONY BOLLINGER R.EEGT,
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246ZE0500XEEG Specialist/Technologist
2261QS1200XSleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number : 1477176477
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID ANTHONY BOLLINGER R.EEGT,
Provider Business Mailing Address
First Line : 2727 W DR MARTIN LUTHER KING JR BLVD STE 400
Second Line :
City : TAMPA
State : FL
Zip : 33607-6001
Country : US
Telephone Number : 813-872-8311
Fax Number : 833-409-2022
Provider Business Practice Location Address
First Line : 2727 W DR MARTIN LUTHER KING JR BLVD STE 400
Second Line :
City : TAMPA
State : FL
Zip : 33607-6001
Country : US
Telephone Number : 813-872-8311
Fax Number : 833-409-2022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2020
Last Update Date : 02/19/2026

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