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

Dr. Peter R. Bolos, MD

Individual provider Diagnostic Radiology Physician · NPI 1457523987

Dr. Peter R. Bolos, MD is a Diagnostic Radiology Physician in Lutz, Florida. Licensed in Florida, Maryland and Pennsylvania. Registered with an NPI since 2008.

Licensed in
FL, MD, PA
In the registry since
2008
Specialties on file
3
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

1208 Merry Water Dr
Lutz, FL 33548-4807
Phone: (813) 477-9979
Fax: (888) 688-1659
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME104023 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD433914 (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence D80591 (MD)

Record details

NPI number1457523987
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2008
Last updated in NPPESSeptember 16, 2016
Mailing address1208 Merry Water Dr, Lutz, FL 33548-4807

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