Bougoulias, Michael
Bougoulias, Michael is an individual health care provider with primary practice located at 719 Rodel Cv Ste 2001 , Lake Mary FL 32746-5716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bougoulias, Michael can be contacted via phone (407) 302-3115.Contact Information
Primary practice address
719 Rodel Cv Ste 2001
Lake Mary FL 32746-5716
Phone: (407) 302-3115
Fax: (321) 203-4602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME61499 | Florida |
Profile Details
| NPI number | 1174514178 |
|---|---|
| LBN Legal business name | Bougoulias, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | May 18th, 2020 - about 5 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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