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DR. THEODORE N FOTOPOULOS MD

Surgery Yellow Pages

New Port Richey, Florida

Provider NPI: 1598765760

Provider Information:
DR. THEODORE N FOTOPOULOS MD


Practice Location:
5534 GULF DR SUITE 1 NEW PORT RICHEY, FL 34652 US
Tel: 727-847-3992  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207ND0101XPhysicians
Dermatology
MOHS-Micrographic Surgery
FLME0063090

Other Provider Identifiers:

IssuerNumberStateType
AETNA2017793FL01
HUMANA591798817FL01
WELLCARE08190FL01
BLUE CROSS BLUE SHIELD31796FL01
250284400FL05
AVMED242931FL01
RAILROAD MEDICARE070009211FL01
QUALITY HEALTH PLANS591798817FL01
CIGNA8550571-003FL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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