IndividualActive
Bouali Amoli, D.M.D. M.D.
NPI 1306073754 · Oral and Maxillofacial Surgery (Dentist) · Jacksonville, FL
Provider details
- NPI number
- 1306073754
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.M.D. M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DRP781 (FL)
Specialties & taxonomies
Dental Providers
Dental Providers
Allopathic & Osteopathic Physicians
Practice location
5149 Normandy Blvd Unit 4
Jacksonville, FL 32205-4861
Phone: (904) 781-1201
Approximate (ZIP-level) locationGet directions
Mailing address
5149 Normandy Blvd Unit 4
Jacksonville, FL 32205-4861
Registry dates
- Enumerated
- 2009-06-12
- Last updated
- 2015-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.