Koutsonikolis, Angelos

Koutsonikolis, Angelos is an individual health care provider with primary practice located at 10075 S Jog Rd Ste 100 , Boynton Beach FL 33437-3532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Koutsonikolis, Angelos can be contacted via phone (561) 733-3546.

Contact Information

Primary practice address
10075 S Jog Rd Ste 100 Boynton Beach FL 33437-3532
Phone: (561) 733-3546
Fax: (561) 733-3547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X ME63824 Florida

Profile Details

NPI number 1295847978
LBN Legal business name Koutsonikolis, Angelos
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 10th, 2023 - about 3 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 1295847978 NPPES
Florida MEDICAID 272058200

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