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Annemarie Jin Boland

Hospitalist

Allopathic & Osteopathic Physicians

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

(904) 202-3860 (904) 202-2092

PECOS Enrollment

This provider is enrolled in PECOS as ANNEMARIE BOLAND.

Based on the most recent information from CMS, provider Annemarie Jin Boland is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1265962443
Provider Type
Individual
Full Name
Boland, Annemarie Jin
Title
Dr.
Credential
DO

Gender
Female
Sole Proprietor
No
Enumeration Date
6/19/2017
Last Updated
9/12/2024

Contact Information

Practice Location

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

(904) 202-3860

(904) 202-3846

Mailing Location

PO Box 746638, Atlanta, GA 30374-6638

(904) 202-2092

(904) 376-4075

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License OS16820 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License OS16820 Florida

Annemarie Jin Boland

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Doan, Tad C

Ob Hospitalist Group Llc

Pai, Savita

Scindia, Deepak Narain

Roemer, Amy Elizabeth

Naimi, Haroon

Blanks, Allison Morgan

Paing, Soe

Mccarthy, Anna M

Patel, Almaas Qamar