Basil Theodotou, M.D.

NPI #1760487961 in Melbourne, Florida

Provider Information

NPI Number: 1760487961
Entity Type: Individual
Name: Basil Theodotou, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Neurological Surgery
Credential: M.D.
Enumeration Date: Jun 15, 2005
Last Updated: Dec 6, 2011

Practice Location

Address: 32 SUNTREE PL
City: Melbourne
State: Florida
ZIP Code: 32940-7689
Phone: (321) 752-7001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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Organizations

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