Individual
DR. DEAN THEOPHILOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3555
(941) 917-5525
(941) 917-1689
Mailing address
150 N SPRING BLVD, TARPON SPRINGS, FL 34689-3247
(727) 271-5650
(727) 946-9062
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME0075663
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254599300
—
FL
01
—
43817
BC/BS NUMBER
FL
Enumeration date
05/25/2006
Last updated
02/16/2023
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