Dr. Theo Koutouzis
Periodontist
1600 Sw Archer Rd D4-4
Gainesville
, Florida 32610-3003
Dr. Theo Koutouzis
Periodontist
1600 Sw Archer Rd D4-4
Gainesville
, Florida 32610-3003
(352) 392-3070
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Theo Koutouzis
- Po Box 100405
- Gainesville, FL
- Zip : 32610-0405
- Fax : (352) 392-3070
- Phone : (352) 392-4305
Second Address
- Dr. Theo Koutouzis
- 1600 Sw Archer Rd D4-4
- Gainesville, FL
- Zip : 32610-3003
- Fax : (352) 392-3070
- Phone : (352) 273-5800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | DTP473 | FL |
National Provider Identifier
| NPI | 1154526796 |
|---|---|
| Provider Name | Dr. Theo Koutouzis |
| First Address | Gainesville, FL 32610-0405 |
| Second Address | Gainesville, FL 32610-3003 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.