Fotopoulos, Theodore N

Fotopoulos, Theodore N is an individual health care provider with primary practice located at 5534 Gulf Dr Suite 1, New Port Richey FL 34652-4000. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Fotopoulos, Theodore N can be contacted via phone (727) 847-3992.

Contact Information

Primary practice address
5534 Gulf Dr Suite 1 New Port Richey FL 34652-4000
Phone: (727) 847-3992
Fax: (727) 848-1118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME0063090 Florida

Profile Details

NPI number 1598765760
LBN Legal business name Fotopoulos, Theodore N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Dec 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598765760 NPPES
Florida Other 591798817 HUMANA
Florida Other 08190 HUMANA
Florida Other 31796 HUMANA
Florida Other 070009211 HUMANA
Florida Other 242931 HUMANA
Florida Other 2017793 HUMANA
Florida Other 8550571-003 HUMANA

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