Michaelos, John L.

Michaelos, John L. is an individual health care provider with primary practice located at 1030 W Bay Dr , Largo FL 33770-3225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Michaelos, John L. can be contacted via phone (727) 585-2200.

Contact Information

Primary practice address
1030 W Bay Dr Largo FL 33770-3225
Phone: (727) 585-2200
Fax: (727) 584-9239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME68672 Florida

Profile Details

NPI number 1851353239
LBN Legal business name Michaelos, John L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Nov 26th, 2013 - about 12 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 1851353239 NPPES
Florida Other 27298 BCBS FLORIDA PROVIDER ID
Florida MEDICAID 379316800 BCBS FLORIDA PROVIDER ID
Florida Other 0797481 BCBS FLORIDA PROVIDER ID

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