Basil C Theodotou MD PA
Basil C Theodotou MD PA is a Neurological Surgery Physician in Melbourne, Florida. Licensed in Florida. Registered with an NPI since 2011.
- Licensed in
- FL
- In the registry since
- 2011
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
32 Suntree PlMelbourne, FL 32940-7689
Phone: (321) 752-7001
Fax: (321) 254-1776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurological Surgery Physician (primary) | Taxonomy 207T00000X · Licence ME0046303 (FL) |
|---|
Record details
| NPI number | 1235407206 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Basil Theodotou — Owner · (321) 752-7001 |
| NPI enumerated | December 6, 2011 |
| Last updated in NPPES | January 5, 2017 |
| Mailing address | 32 Suntree Pl, Melbourne, FL 32940-7689 |
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