Dr MICHAEL BOUGOULIAS is a male medical professional, specializing in Family Medicine. He graduated in 1989 from University Of South Florida College Of Medicine.
PHYSICIAN ASSOCIATES LLC
719 RODEL CV
SUITE 1015
LAKE MARY
FL
327465716
Tel: 4073023133
| Npi | 1174514178 |
| Pac Id | 4880599679 |
| Professional Enrollment Id | I20071119000107 |
| Last Name | BOUGOULIAS |
| First Name | MICHAEL |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PHYSICIAN ASSOCIATES LLC |
| Group Practice Pac Id | 0244135093 |
| Number Of Group Practice Members | 122 |
| Line 1 Street Address | 719 RODEL CV |
| Line 2 Street Address | SUITE 1015 |
| Marker Of Address Line 2 Suppression | |
| City | LAKE MARY |
| State | FL |
| Zip Code | 327465716 |
| Phone Number | 4073023133 |
| Hospital Affiliation Ccn 1 | 100007 |
| Hospital Affiliation Lbn 1 | FLORIDA HOSPITAL |
| Hospital Affiliation Ccn 2 | 100006 |
| Hospital Affiliation Lbn 2 | ORLANDO HEALTH |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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