DR. Michael Bougoulias, M.D.

NPI #1174514178 in Lake Mary, Florida

Provider Information

NPI Number: 1174514178
Entity Type: Individual
Name: DR. Michael Bougoulias, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Oct 31, 2005
Last Updated: May 18, 2020

Practice Location

Address: 719 RODEL CV STE 2001
City: Lake Mary
State: Florida
ZIP Code: 32746-5716
Phone: (407) 302-3115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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