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1225471873
IRINA EUGENIEVNA BOLDT
JACKSONVILLE, FL
NPI
1225471873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME135983)
Enumeration Date
2013-04-14
Last Update Date
2018-06-16
Business Address
Dr. IRINA EUGENIEVNA BOLDT M.D.
12620 BEACH BLVD
JACKSONVILLE, FL 32246-7131
Phone number: 904-633-0585
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Mailing Address
Dr. IRINA EUGENIEVNA BOLDT M.D.
653 W 8TH ST # FC-12
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-3903
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