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Christo W Koulisis, MD
Specialist in Niceville, Florida
NPI 1780673749

Christo W Koulisis is a Specialist based in Niceville, FL. Christo W Koulisis practices in Niceville, FL and has the professional credentials of MD. The NPI Number for Christo W Koulisis is 1780673749 and holds a License No. 4301503101 (Florida).

The current practice location address for Christo W Koulisis is 1003 College Blvd W, Niceville, FL and can be reached out via phone at 850-279-6789 and via fax at 850-279-6546.

Location: 1003 College Blvd W, Niceville, FL, 32578-1060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780673749
Provider Name
Christo W Koulisis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1003 College Blvd W, Niceville, FL, 32578-1060
Phone Number
850-279-6789
Fax Number
850-279-6546
Provider Enumeration Date
10/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07915 01 FL BLUE CROSS BLUE SHIELD
162510700 01 FL DEPARTMENT OF LABOR
256355000 05 FL
institution
Provider Business Practice Location Address Details
Address
1003 College Blvd W
City
Niceville
State
Florida
Zip
32578-1060
Phone Number
850-279-6789
Fax Number
850-279-6546
person
Provider Business Mailing Address Details
Address
1003 College Blvd W
City
Niceville
State
Florida
Zip
32578-1060
Phone Number
850-279-6789
Fax Number
850-279-6546
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME0053933 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
4301503101 (Michigan)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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