Soumelidis, Nickolas N

Soumelidis, Nickolas N is an individual health care provider with primary practice located at 3027 Landover Blvd , Spring Hill FL 34608-7260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Soumelidis, Nickolas N can be contacted via phone (352) 688-9558.

Contact Information

Primary practice address
3027 Landover Blvd Spring Hill FL 34608-7260
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME103560 Florida

Profile Details

NPI number 1114047446
LBN Legal business name Soumelidis, Nickolas N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Jul 21st, 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 1114047446 NPPES
Florida Other P00811506 RR MEDICARE
Florida MEDICAID 001438200 RR MEDICARE

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