Organization
ANGELOS KOUTSONIKOLIS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELOS KOUTSONIKOLIS MEDICAL DOCTOR (PRESIDENT)
(561) 733-3546
Entity
Organization
Contact information
Practice address
10075 JOG RD, SUITE 100, BOYNTON BEACH, FL 33437-3535
(561) 733-3546
(561) 733-3547
Mailing address
10075 JOG RD, SUITE 100, BOYNTON BEACH, FL 33437-3535
(561) 733-3546
(561) 733-3547
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME63824
FL
Other
Enumeration date
09/25/2007
Last updated
04/22/2008
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