MEDICARE: HOUMAN BOLOURIAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	7717A	WY
2	207Q00000X	Family Medicine Physician	0101243332	VA
3	207Q00000X	Family Medicine Physician	ME101168	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7717A	OTHER	WY	LICENSE
2	101243332	OTHER	VA	LICENSE
3	101168	OTHER	FL	LICENSE

General Provider Information

NPI Number	:	1124150396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOUMAN BOLOURIAN MD

Provider Business Mailing Address
First Line	:	10850 EMERALD CHASE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32836-5882
Country	:	US
Telephone Number	:	407-721-2475
Fax Number	:

Provider Business Practice Location Address
First Line	:	8113 CENTRALIA CT STE 102
Second Line	:
City	:	LEESBURG
State	:	FL
Zip	:	34788-7521
Country	:	US
Telephone Number	:	352-663-9200
Fax Number	:	352-240-3941

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	09/05/2024

Similar Medicare Providers

1396419594 — PREMISE HEALTH OF FLORIDA MEDICAL PA
Practice Location Address:

8113 CENTRALIA CT STE 102
LEESBURG, FL
34788-7521

Practice Phone: 352-314-3020
Practice Fax:

1245518638 — YASHEL WEDDERBURN LANDELL MD
Practice Location Address:

8113 CENTRALIA CT STE 102
LEESBURG, FL
34788-7521

Practice Phone: 877-423-1330
Practice Fax:

1316397458 — CANDY L GOTT
Practice Location Address:

10645 US HIGHWAY 441
LEESBURG, FL
34788-7229

Practice Phone: 352-365-0099
Practice Fax: 352-717-5084

1598320400 — KIMBERLY RODRIGUEZ
Practice Location Address:

35435 ORANGE GROVE LN
LEESBURG, FL
34788-2988

Practice Phone: 352-551-5715
Practice Fax:

1588668438 — DR. CARL L MILOVAC O.D.
Practice Location Address:

10401-334 SOUTH HWY 441
LEESBURG, FL
34788-2522

Practice Phone: 352-326-2416
Practice Fax: 352-728-0509

1962499111 — CHRISTOPHER T SOPRENUK MD
Practice Location Address:

9846 US HIGHWAY 441
LEESBURG, FL
34788-3910

Practice Phone: 352-728-1886
Practice Fax: 352-728-1024

Directions to “ HOUMAN BOLOURIAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.