Provider Demographics
NPI:1326453267
Name:MICHAELOS, LOUIS JOHN (DO)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:JOHN
Last Name:MICHAELOS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1030 W BAY DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-3276
Mailing Address - Country:US
Mailing Address - Phone:727-585-2200
Mailing Address - Fax:813-697-1758
Practice Address - Street 1:1030 W BAY DR STE 200
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-3276
Practice Address - Country:US
Practice Address - Phone:727-585-2200
Practice Address - Fax:813-697-1758
Is Sole Proprietor?:No
Enumeration Date:2014-06-30
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS14688207W00000X, 207WX0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology