Mary Clare Bougoulias, PA-C is a student in an organized health care education training program in Tampa, FL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Mary Clare Bougoulias, PA-C NPI is 1881332336. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
8462 DEL LAGO CIR UNIT 102
TAMPA, FL
ZIP 33614-777
Phone: (407) 754-7926
The enumeration date for this NPI number is 5/24/2022 and was last updated on 5/24/2022.