Pavouris, Nicolas

Pavouris, Nicolas is an sole proprietor health care provider with primary practice located at 1200 S. Pinellas Ave # 11 Jsa Tarpon South Primary Care Center, Tarpon Springs FL 34689-3716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pavouris, Nicolas can be contacted via phone (727) 942-8900.

Contact Information

Primary practice address
1200 S. Pinellas Ave # 11 Jsa Tarpon South Primary Care Center Tarpon Springs FL 34689-3716
Phone: (727) 942-8900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME77322 Florida

Profile Details

NPI number 1235245937
LBN Legal business name Pavouris, Nicolas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2006
Last updated Dec 26th, 2013 - about 11 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 1235245937 NPPES
Florida MEDICAID 009910000

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