Stephen Patrick Bolduc, M.D.

Pediatrics Physician · Santa Rosa Beach, FL

Individual Active NPI

NPI number 1740233170

Practice location

23 Mack Bayou Loop
Suite 200
Santa Rosa Beach, FL 32459-2606
Phone
(850) 278-3920
Fax
(850) 278-3919

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NPI record

NPI
1740233170
Entity type
Individual (Type 1)
Enumeration date
May 18, 2006
Last updated
December 29, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X ME121545 FL

Mailing address

PO Box 2699
Pensacola, FL 32513-2699
Phone
(850) 278-3920
Fax
(850) 278-3919

About Dr. Bolduc

Stephen Patrick Bolduc, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 23 Mack Bayou Loop, Suite 200, Santa Rosa Beach, FL 32459-2606. The NPI number 1740233170 was assigned on May 18, 2006 and the record was last updated on December 29, 2015.

Dr. Bolduc lists a license in the registry: #ME121545 (FL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephen Patrick Bolduc, M.D.?

The NPI number is 1740233170.

What is the phone number of Dr. Bolduc?

The phone number listed for the practice location is (850) 278-3920.

Where is Dr. Bolduc located?

23 Mack Bayou Loop, Suite 200, Santa Rosa Beach, FL 32459-2606.

What is the taxonomy code for Dr. Bolduc?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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