Doctor Name: | CONSTANTINE G BARBOUNIS |
NPI Number: | 1265416283 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | P02785 |
Business Practice Address: | 8851 Boardroom Cir Ft Myers, FL - 339194888 |
Business Phone Number: | 2394817000 |
Business Fax Number: | 2394818150 |
Mailing Address: | 8851 Boardroom Cir, FT MYERS |
State: | FL |
Postal Code: | 339194888 |
Phone Number: | 2394817000 |
Fax Number: | 2394818150 |
NPI Enumeration Date: | 12/02/2005 |
NPI Last Update Date: | 03/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | P02785 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |