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DR. PETER R. BOLOS M.D.
NPI 1457523987
Radiology - Diagnostic Radiology in Lutz, FL

Active since March 25, 2008
1208 MERRY WATER DR, LUTZ, FL 33548(813) 477-9979(888) 688-1659 Get Directions Write a Review

NPPES record last updated: September 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2016, Nov 19, 2015 (2 updates tracked since 2015).

About Dr. Peter R. Bolos M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PETER R. BOLOS M.D. (NPI 1457523987) is an individual diagnostic radiology provider in Lutz, Florida, licensed in Florida (ME104023) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1457523987
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. PETER R. BOLOSCredential: M.D.
Location Address1208 MERRY WATER DRLutz, FL 33548-4807
Mailing Address1208 Merry Water DrLutz, FL 33548-4807 · (813) 477-9979 · Fax (888) 688-1659
Phone(813) 477-9979
Fax(888) 688-1659
Sole ProprietorNo
Enumeration DateMarch 25, 2008
Last NPPES UpdateSeptember 16, 20162 updates tracked since enumeration
✔ NPI 1457523987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in FL · ME104023✔ Licensed in PA · MD433914✔ Licensed in MD · D80591
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1208 MERRY WATER DR, Lutz, FL 33548
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Other Identifiers 3

Medicare PINHN243FL
Other14N46FL · Blue Cross
Medicaid009111600FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Bolos's NPI number?

The NPI number for Peter Bolos is 1457523987. It was assigned to this individual provider in the NPPES registry on March 25, 2008.

Where is Peter Bolos located?

Peter Bolos practices at 1208 Merry Water Dr, Lutz, FL 33548. The listed phone number is (813) 477-9979.

What is Peter Bolos's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Peter Bolos was last updated on September 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.