Organization
FAMILY HEALTH PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK KOINOGLOU (OWNER)
(330) 821-4455
Entity
Organization
Contact information
Practice address
2565 S UNION AVE, ALLIANCE, OH 44601-5058
(330) 821-4455
(330) 821-4504
Mailing address
2565 S UNION AVE, ALLIANCE, OH 44601-5058
(330) 821-4455
(330) 821-4504
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35.082293
OH
332B00000X
Durable Medical Equipment & Medical Supplies
35.082293
OH
363L00000X
Nurse Practitioner
COA.14388-NP
OH
Other
Enumeration date
03/21/2013
Last updated
01/29/2024
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