NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

CHRISTO W KOULISIS, MD – NPI #1780673749
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

CHRISTO W KOULISIS, MD
1003 COLLEGE BLVD W
SUITE 4
NICEVILLE, FL32578-1068
 Phone: 850-279-6485
 Fax: 850-279-6546
 Website:
 

Specialty

Taxonomy

Specialist

174400000X
Indicates primary specialty
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NPI Information

NPI Number 1780673749
Credentials MD
Entity Individual
Enumeration date 10/20/2005
Last updated 10/16/2012
Sole proprietor No
Identifiers
FL License # ME0053933
FL Medicaid 256355000
Medicare (Unspecified) 07915
Medicare UPIN B24093
FL Other 07915 BLUE CROSS BLUE SHIELD
FL Other 162510700 DEPARTMENT OF LABOR

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