MEDICARE: TELIKOS HEALTHCARE SOLUTIONS LLC

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	247200000X	Other Technician

General Provider Information

NPI Number	:	1386184992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TELIKOS HEALTHCARE SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	5026 TILDENS GROVE BLVD
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-5707
Country	:	US
Telephone Number	:	616-340-6321
Fax Number	:

Provider Business Practice Location Address
First Line	:	2602 SE WILLOUGHBY BLVD
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-4700
Country	:	US
Telephone Number	:	833-363-5423
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CORIE M. KANIAMOS
Credential	:
Telephone Number	:	616-340-6321

Provider Enumeration Date	:	03/01/2017
Last Update Date	:	05/20/2021

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