Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 25MA09220800 | NJ |
N | 208600000X | Surgeon | 25MA09220800 | NJ |
Y | 2086S0105X | Surgery of the Hand | OS16566 | FL |
NPI | 1508023466 |
---|---|
Provider Name | Dr. Nicholas Houlis |
First Address | Kissimmee, FL 34744-1373 |
Second Address | Kissimmee, FL 34744-1373 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2008 |
Last Update Date | 12/05/2020 |