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1073584041
CONSTANTINE G BOUCHLAS
CLEARWATER, FL
NPI
1073584041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: FL ME58052)
Enumeration Date
2006-01-30
Last Update Date
2015-07-20
Business Address
Dr. CONSTANTINE G BOUCHLAS MD
2250 DREW ST
CLEARWATER, FL 33765-3305
Phone number: 727-724-5631
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Mailing Address
Dr. CONSTANTINE G BOUCHLAS MD
PO BOX 17328
CLEARWATER, FL 33762-0328
Phone number: 727-724-5631
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