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

Dr. Peter J Bolan, MD

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1174502314

Dr. Peter J Bolan, MD is a Thoracic Surgery in Jacksonville, Florida. Graduated from Rush Medical College of Rush University in 1994, 32 years ago. Practices with Cardiothoracic and Vascular Surgical Associates PA, a 85-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
32
Trained at
Rush Medical College of Rush University
Licensed in
FL, GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

836 Prudential Dr Ste 1804
Jacksonville, FL 32207-8345
Phone: (904) 398-3888
Fax: (904) 400-6675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence ME162343 (FL)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence 40825 (GA)

Record details

NPI number1174502314
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 16, 2006
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025
Mailing address836 Prudential Drive, Ste 1804, Jacksonville, FL 32207-8345

Medicare enrollment

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

Medicare specialtyTHORACIC SURGERY
Also practisesCARDIAC SURGERY
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 1994 (32 years in practice)
Group practice Cardiothoracic And Vascular Surgical Associates Pa — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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