Basil C Theodotou Md Pa

LBN: Basil C Theodotou Md Pa
Basil C Theodotou Md Pa is an health care organization with primary practice located at 32 Suntree Pl , Melbourne FL 32940-7689. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Basil C Theodotou Md Pa can be contacted via phone (321) 752-7001, or through Theodotou, Basil via phone (321) 752-7001.

Contact Information

Primary practice address
32 Suntree Pl Melbourne FL 32940-7689
Phone: (321) 752-7001
Fax: (321) 254-1776
Website:
Map and Directions
Authorized official contact:
Name: Theodotou, Basil Doctor of Medicine (MD)
Phone: (321) 752-7001

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME0046303 Florida

Profile Details

NPI number 1235407206
LBN Legal business name Basil C Theodotou Md Pa
DBA Doing business as
Authorized official Theodotou, Basil Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2011
Last updated Jan 5th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235407206 NPPES
Florida MEDICAID 041713100

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