IndividualActive
Stephen Bolduc, M.D.
NPI 1740233170 · Pediatrics Physician · Santa Rosa Beach, FL
Provider details
- NPI number
- 1740233170
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME121545 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
23 Mack Bayou Loop
Suite 200
Santa Rosa Beach, FL 32459-2606
Phone: (850) 278-3920
Fax: (850) 278-3919
Street-level locationGet directions
Mailing address
Po Box 2699
Pensacola, FL 32513-2699
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2015-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.