MR. GARY EUGENE BOLEN (NPI# 1467568816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467568816 |
| Entity Type | Individual |
| Full Name | MR. GARY EUGENE BOLEN |
| Credential | DC |
| Practice Address |
4107 South Tamiami Trail Venice FL 34293 |
| Practice Telephone | 9414977424 |
| Practice Fax Number | 9414938413 |
| Mailing Telephone | 9414977424 |
| Mailing Fax Number | 9414938413 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH7387 | FL | Chiropractic Providers |
| Street Address |
4107 SOUTH TAMIAMI TRAIL |
| City | VENICE |
| State | FL |
| Zip Code | 34293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485729 | Wylan Bernitt | Dentist | 1215 Mercado Dr, Venice, FL 34293 | 2020-10-21 |
| 1841847720 | Joseph Matthew Adkins | Nurse Practitioner | 417 Lake of The Woods Dr, Venice, FL 34293 | 2019-08-24 |
| 1861047375 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12165 Mercado Drive, Venice, FL 34293 | 2019-08-02 |
| 1265084107 | Safecare Transport, LLC | Non-emergency Medical Transport (VAN) | 18821 Bianchi Strret, Venice, FL 34293 | 2019-07-11 |
| 1932621869 | Mike Andry | Hearing Instrument Specialist | 4238 S. Tamiami Trail, Venice, FL 34293 | 2017-07-12 |
| 1659729861 | Danielle Gibellina | Occupational Therapy Assistant | 1507 S. Tuttle Ave, Magnolia Rehabilitation Center, Sarasota, FL 34293 | 2016-05-27 |
| 1891142501 | Jessica Kontoes | Behavioral Analyst | 19503 West Villages Parkway, A11, Venice, FL 34293 | 2016-05-23 |
| 1093161770 | Jillian Hinds | Behavioral Analyst | 19503 West Villages Pkwy, A11, Venice, FL 34293 | 2016-05-11 |
| 1003211509 | Roselle Joyce Beltran | Physical Therapist | 5865 Osprey Road, Venice, FL 34293 | 2014-10-27 |
| 1144649799 | Wendy Zinck-ladd | Case Manager/Care Coordinator | 19503 S.w.villages Parkway, Bldg. A, North Port, FL 34293 | 2014-04-10 |
| Find all providers in zip 34293 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437640976 | Sean Higgins, Dc, Pa | Chiropractor | 209 Nassau St S Ste 102, Venice, FL 34285-2358 | 2018-05-21 |
| 1689162950 | Brian Bronk Dc | Chiropractor | 1101 Ocean Front Walk Apt 202, Venice, CA 90291-9025 | 2018-04-23 |
| 1205295474 | Lindsey Mathews | Chiropractor | 835 Commonwealth Ave, Venice, CA 90291-2805 | 2016-02-17 |
| 1659749877 | Deborah Muehlen | Chiropractor | 225 4th Ave Apt 203, Venice, CA 90291-8607 | 2015-09-03 |
| 1821368697 | Eric Marc Barbera | Chiropractor | 114 Shamrock Blvd, Venice, FL 34293-1629 | 2012-01-10 |
| 1871871475 | Neill Phillip Heim | Chiropractor | 587 Us Highway 41 Byp N, Venice, FL 34285-6040 | 2011-07-30 |
| 1639470339 | Rice Chiropractic Care, Inc. | Chiropractor | 1435 E Venice Ave Unit 107, Venice, FL 34292-3074 | 2010-11-11 |
| 1386963346 | Danielle Diane Sager-ebling | Chiropractor | 606 Venice Blvd, Suite H, Venice, CA 90291-6809 | 2010-05-28 |
| 1285808758 | Martin E Romanski Dc Pa | Chiropractor | 130 Shamrock Blvd, Venice, FL 34293-1629 | 2008-04-16 |
| 1114199890 | Hanna Chiropractic Pa | Chiropractor | 617 South Tamiami Trail, Venice, FL 34285-3237 | 2008-04-02 |
| Find all providers in VENICE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.