Bolis, Lawandy Fawzy

Bolis, Lawandy Fawzy is an individual health care provider with primary practice located at 6600 Madison St Fl 2 , New Port Richey FL 34652-1971. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Bolis, Lawandy Fawzy can be contacted via phone (727) 815-7208.

Contact Information

Primary practice address
6600 Madison St Fl 2 New Port Richey FL 34652-1971
Phone: (727) 815-7208
Fax: (813) 266-4951
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME102757 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME102757 Florida

Profile Details

NPI number 1679722839
LBN Legal business name Bolis, Lawandy Fawzy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2008
Last updated Oct 3rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679722839 NPPES
Florida Other P00807399 RR MEDICARE
Florida MEDICAID 000577000 RR MEDICARE
Florida Other 78234 RR MEDICARE

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