BASIL C THEODOTOU MD PA

MELBOURNE, FL
NPI1235407206
Entity TypeOrganization
Authorized ContactBASIL THEODOTOU
Owner
321-752-7001
Organization Subpart ?No
Primary Taxonomy207T00000X Neurological Surgery
(Licence: FL  ME0046303)
Enumeration Date2011-12-06
Last Update Date2017-01-05
Business Address
BASIL C THEODOTOU MD PA
32 SUNTREE PL
MELBOURNE, FL 32940-7689
Phone number: 321-752-7001
Mailing Address
BASIL C THEODOTOU MD PA
32 SUNTREE PL
MELBOURNE, FL 32940-7689
Phone number: 321-752-7001
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