Organization
DRMARIA LOULOURGAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA LOULOURGAS (OWNER/AUTHORIZED OFFICIAL)
(727) 641-3937
Entity
Organization
Contact information
Practice address
928 CURLEW RD, DUNEDIN, FL 34698-1901
(727) 641-3937
Mailing address
4977 TURTLE CREEK TRL, OLDSMAR, FL 34677-1966
(727) 641-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC3020
LICENSE
FL
Enumeration date
08/28/2020
Last updated
09/01/2020
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