NPI 1174514178

Michael Bougoulias, MD

Practitioner Family Medicine Physician Lake Mary, FL

Practice location

Address: 719 Rodel Cv STE 2001, Lake Mary, FL 32746-5716
Phone: (407) 302-3115
Fax: (321) 203-4602

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence ME61499 (FL)

Other Family Medicine providers in Florida →

Registry record

NPI: 1174514178
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Oct 2005
Record last updated: 18 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.