Howard B Bolos, Od Pa

NPI 1013278456 - Optometrist - 152W00000X

NPI Details
NPI 1013278456
Enumeration Date 06/01/2012
Last Updated 06/01/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name HOWARD HOWARD
Position OWNER
Phone (321) 636-4422
Fax (321) 632-9254
Practice Location
113 MARYLAND AVE
COCOA FL, 32922-7832, US
Phone (321) 636-4422
Fax (321) 632-9254
Business Location
113 MARYLAND AVE
COCOA FL, 32922-7832, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number OPC 001719
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According to our database, Howard B Bolos, Od Pa NPI is 1013278456, taxonomy code is 152W00000X and license number is OPC 001719, license state is located at Florida. Howard B Bolos, Od Pa physically located at 113 Maryland Ave, Cocoa FL, 32922-7832. NPI Number 1033115704 has the healthcare provider type.

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1013278456 NPI number is provided on an as is basis without warranty of any kind. 1013278456 is maintained by the National Plan & Provider Enumeration System. The contents of Howard B Bolos, Od Pa are for informational purposes only.