Howard B Bolos, Od PA

NPI #1013278456 in Cocoa, Florida

Provider Information

NPI Number: 1013278456
Entity Type: Organization
Organization Name: Howard B Bolos, Od PA
Primary Specialty: Optometrist
Enumeration Date: Jun 1, 2012
Last Updated: Jun 1, 2012

Practice Location

Address: 113 MARYLAND AVE
City: Cocoa
State: Florida
ZIP Code: 32922-7832
Phone: (321) 636-4422

Authorized Official

Name: DR. HOWARD BOLOS
Title: OWNER
Phone: (321) 636-4422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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