Healthcare Provider Details

I. General information

NPI: 1710515119
Provider Name (Legal Business Name): AMERICAN HAND SURGERY ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 05/12/2020
Certification Date: 05/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2711 N ORANGE BLOSSOM TRL
KISSIMMEE FL
34744-1373
US

IV. Provider business mailing address

2711 N ORANGE BLOSSOM TRL
KISSIMMEE FL
34744-1373
US

V. Phone/Fax

Practice location:
  • Phone: 407-380-0302
  • Fax:
Mailing address:
  • Phone: 407-380-0302
  • Fax: 407-380-5127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NICHOLAS HOULIS
Title or Position: OWNER
Credential: DO
Phone: 732-864-7864