Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. John Bolla

Individual provider Family Medicine Physician · NPI 1396723581

Dr. John Bolla is a Family Practice in Lake Worth, Florida. Qualified in 1980, 46 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
46
Licensed in
FL
In the registry since
2006
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Practice location Address checks out

9835 Lake Worth Rd Ste 16
Lake Worth, FL 33467-2370
Phone: (251) 495-2990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME0069906 (FL)

Record details

NPI number1396723581
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 6, 2006
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address9835 Lake Worth Rd Ste 16, Lake Worth, FL 33467-2370

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lake Worth