Theodotou, Basil
Theodotou, Basil is an individual health care provider with primary practice located at 32 Suntree Pl , Melbourne FL 32940-7689. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Theodotou, Basil can be contacted 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ME0046303 | Florida |
Profile Details
| NPI number | 1760487961 |
|---|---|
| LBN Legal business name | Theodotou, Basil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Dec 6th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760487961 | NPPES |
| Florida | MEDICAID | 041713100 |
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