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1760487961
BASIL THEODOTOU
MELBOURNE, FL
NPI
1760487961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: FL ME0046303)
Enumeration Date
2005-06-15
Last Update Date
2011-12-06
Business Address
-- BASIL THEODOTOU M.D.
32 SUNTREE PL
MELBOURNE, FL 32940-7689
Phone number: 321-752-7001
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Mailing Address
-- BASIL THEODOTOU M.D.
32 SUNTREE PL
MELBOURNE, FL 32940-7689
Phone number: 321-752-7001
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