Provider Demographics
NPI:1093976680
Name:BOLAND, DEBORAH FINLEY (DO)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:FINLEY
Last Name:BOLAND
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 W JORDAN ST STE 134
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-1740
Mailing Address - Country:US
Mailing Address - Phone:850-741-5990
Mailing Address - Fax:850-741-5991
Practice Address - Street 1:14 W JORDAN ST STE 134
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-1740
Practice Address - Country:US
Practice Address - Phone:850-741-5990
Practice Address - Fax:850-741-5991
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS128222084N0400X
GA0706172084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013510400Medicaid
FLHY580ZMedicare PIN
FL013510400Medicaid