Houman Bolourian, MD | |
8113 Centralia Ct Ste 102, Leesburg, FL 34788-7521 | |
(352) 663-9200 | |
(352) 240-3941 |
Full Name | Houman Bolourian |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 16 Years |
Location | 8113 Centralia Ct Ste 102, Leesburg, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124150396 | NPI | - | NPPES |
7717A | Other | WY | LICENSE |
101243332 | Other | VA | LICENSE |
101168 | Other | FL | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 7717A (Wyoming) | Secondary |
207Q00000X | Family Medicine | 0101243332 (Virginia) | Secondary |
207Q00000X | Family Medicine | ME101168 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Orlando | Orlando, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Urgent Care Centers Of Brevard County Llc | 6002238714 | 27 |
Adventist Health System/sunbelt, Inc. | 6406849256 | 176 |
Entity Name | Adventist Health System/sunbelt, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073565610 PECOS PAC ID: 6406849256 Enrollment ID: O20040406001849 |
Entity Name | Urgent Care Centers Of Brevard County Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295367290 PECOS PAC ID: 6002238714 Enrollment ID: O20200626000122 |
Entity Name | Mc Medical Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982293718 PECOS PAC ID: 4183955974 Enrollment ID: O20220111001955 |
Mailing Address | Practice Location Address |
---|---|
Houman Bolourian, MD 10850 Emerald Chase Dr, Orlando, FL 32836-5882 Ph: (407) 721-2475 | Houman Bolourian, MD 8113 Centralia Ct Ste 102, Leesburg, FL 34788-7521 Ph: (352) 663-9200 |
Dr. Deborah Marie Bellush, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1210 W Main St, Leesburg, FL 34748 Phone: 352-787-8489 | |
Luciano Oquendo Iii, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 711 W Main St, Leesburg, FL 34748 Phone: 352-435-4000 | |
Jamaal A Mcleod, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-2273 Fax: 352-323-2261 | |
Regina P Quinain, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 N 1st St, Leesburg, FL 34748 Phone: 407-905-8827 Fax: 352-360-2389 | |
Mr. Steven Eugene Hawk, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1801 Us Highway 441, Building 100, Leesburg, FL 34748 Phone: 352-460-4004 Fax: 352-460-4003 | |
Ebony Milson, Family Medicine Medicare: Medicare Enrolled Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-720-7980 |