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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679722839 | NPPES |
| Florida | Other | P00807399 | RR MEDICARE |
| Florida | MEDICAID | 000577000 | RR MEDICARE |
| Florida | Other | 78234 | RR MEDICARE |
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