Individual
ANGELOS KOUTSONIKOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10075 S JOG RD STE 100, BOYNTON BEACH, FL 33437-3532
(561) 733-3546
(561) 733-3547
Mailing address
10075 S JOG RD STE 100, BOYNTON BEACH, FL 33437-3532
(561) 733-3546
(561) 733-3547
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME63824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272058200
—
FL
Enumeration date
08/31/2006
Last updated
01/10/2023
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