Dr. Constantine G Bouchlas, MD
Physical Medicine & Rehabilitation in Clearwater, FL. Individual provider (NPI-1).
NPI number1073584041
StatusActive
Last updated in NPPESJul 20, 2015
Details
- NPI
- 1073584041
- Entity type
- Individual (NPI-1)
- Name
- Dr. Constantine G Bouchlas
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2006
- Last updated
- Jul 20, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | ME58052 | FL | Yes |
Practice location
2250 Drew StClearwater, FL 33765-3305
Phone 727-724-5631 · Fax 727-724-5689
Mailing address
Po Box 17328Clearwater, FL 33762-0328
Phone 727-724-5631 · Fax 727-216-0374
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