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NPI Code Detail

MEDICARE: CONSTANTINE G BARBOUNIS P A

MEDICARE: CONSTANTINE G BARBOUNIS P A
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
1213ES0103XFoot & Ankle Surgery PodiatristPO2785FL

General Provider Information

NPI Number : 1255599809
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONSTANTINE G BARBOUNIS P A
Provider Business Mailing Address
First Line : 8851 BOARDROOM CIR
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-4888
Country : US
Telephone Number : 239-481-7000
Fax Number : 239-481-8150
Provider Business Practice Location Address
First Line : 8851 BOARDROOM CIR
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-4888
Country : US
Telephone Number : 239-481-7000
Fax Number : 239-481-8150
Authorized Official
Title or Position : OWNER
Name : DR. CONSTANTINE G BARBOUNIS
Credential : DPM
Telephone Number : 239-481-7000
Provider Enumeration Date : 05/30/2008
Last Update Date : 02/03/2010

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Directions to “CONSTANTINE G BARBOUNIS P A ” Practice Location

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