Howard Bolos in Cocoa - Corneal And Contact Management
Howard Bolos - NPI 1609984665
Howard Bolos is a Corneal And Contact Management in Cocoa, Florida. Howard Bolos practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Howard Bolos is 1609984665. The last update date is 2018-09-26.
Howard Bolos's current location address is 113 Maryland Ave, Cocoa, Florida. You can contact this provider via phone number 3216364422 and fax number 3216329254. The mailing address for Howard Bolos is 113 Maryland Ave, Cocoa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Howard Bolos |
|---|---|
| Address | 113 Maryland Ave, Cocoa, Florida |
| Phone Number | 3216364422 |
| Fax Number | 3216329254 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1609984665 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2018-09-26 |
Provider Mailing Address Detail
| Address | 113 Maryland Ave |
|---|---|
| City | Cocoa |
| State | Florida (FL) |
| Post Code | 329227832 |
| Phone Number | 3216364422 |
| Fax Number | 3216329254 |
Provider's Primary Taxonomy Detail
| Speciality | Corneal And Contact Management |
|---|---|
| Taxonomy | 152Wc0802X |
| Licence No | OPC 001719 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 78230100 | FL | -- |
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What is the unique identifier code issued to Howard Bolos by the Centers for Medicare & Medicaid Services?
The Howard Bolos has been assigned the NPI (National Provider Identifier) 1609984665. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Howard Bolos's facilities are situated?
The facilities of Howard Bolos are physically located at the following address: 113 Maryland Ave, Cocoa, FL, 329227832.
What is the Howard Bolos's specialty and taxonomy code?
The Howard Bolos's specialty is Corneal And Contact Management, and the corresponding taxonomy code is 152Wc0802X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609984665 to Howard Bolos?
The Centers for Medicare & Medicaid Services originally issued the 1609984665 to Howard Bolos on 2006-08-29.
As of what date were the Howard Bolos's details last updated?
The information pertaining to the Howard Bolos, including its address, specialty, and other details, was most recently updated on 2018-09-26.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA