Dr Michael Bougoulias, MD | |
719 Rodel Cv Ste 2001, Lake Mary, FL 32746-5716 | |
(407) 302-3115 | |
(321) 203-4602 |
Full Name | Dr Michael Bougoulias |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 719 Rodel Cv Ste 2001, Lake Mary, 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 |
---|---|---|---|
1174514178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME61499 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Orlando Health | Orlando, FL | Hospital |
Adventhealth Orlando | Orlando, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orlando Physicians Network Inc | 7719026251 | 190 |
Entity Name | Physician Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336137280 PECOS PAC ID: 0244135093 Enrollment ID: O20031204000591 |
Entity Name | Orlando Physicians Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568693554 PECOS PAC ID: 7719026251 Enrollment ID: O20091123000506 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Bougoulias, MD 719 Rodel Cv Ste 2001, Lake Mary, FL 32746-5716 Ph: (407) 302-3115 | Dr Michael Bougoulias, MD 719 Rodel Cv Ste 2001, Lake Mary, FL 32746-5716 Ph: (407) 302-3115 |
Shellie Graham-lapp, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 4106 W Lake Mary Blvd, Suite 100, Lake Mary, FL 32746 Phone: 407-333-2273 Fax: 407-333-3939 | |
Dr. Kristina Howes Berger, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 755 Rinehart Rd, Suite 100, Lake Mary, FL 32746 Phone: 407-333-1550 Fax: 407-333-3081 | |
Carlos Mercado, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1307 S International Pkwy, Suite 2091, Lake Mary, FL 32746 Phone: 407-771-0404 Fax: 407-771-0405 | |
Dr. Angela R Merzenich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 W Lake Mary Blvd, Suite 109, Lake Mary, FL 32746 Phone: 407-878-0910 Fax: 407-878-0911 | |
Dr. Durgabhavani B Valay, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 Timberlachen Cir, Lake Mary, FL 32746 Phone: 407-880-0011 Fax: 407-880-7792 | |
Louella Pritchette, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 Timberlachen Cir, Lake Mary, FL 32746 Phone: 407-333-9877 Fax: 407-333-9881 | |
Dr. Ronald Bosco Benard Saborio, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 525 Technology Park Ste 109, Lake Mary, FL 32746 Phone: 407-647-2346 |