Organization
NICHOLAS IOANNOU, MD, P.A.
Active
Other names
Nicholas Ioannou, MD, PA
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS IOANNOU M.D. (DOCTOR/OWNER)
(772) 468-1039
Entity
Organization
Contact information
Practice address
2100 NEBRASKA AVE., SUITE 105, FORT PIERCE, FL 34950
(772) 468-1039
(772) 461-3885
Mailing address
2100 NEBRASKA AVE, STE 105, FT. PIERCE, FL 34950
(772) 468-1039
(772) 461-3885
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME36690
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069840700
—
FL
Enumeration date
06/29/2006
Last updated
08/05/2008
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