MEDICARE: DR. GILLIAN KAY KARATINOS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	ME69122	FL

General Provider Information

NPI Number	:	1083779490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GILLIAN KAY KARATINOS M.D.

Provider Business Mailing Address
First Line	:	15823 FAIRCHILD DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-1123
Country	:	US
Telephone Number	:	813-977-9919
Fax Number	:

Provider Business Practice Location Address
First Line	:	15310 AMBERLY DR
Second Line	:	STE 250
City	:	TAMPA
State	:	FL
Zip	:	33647-2199
Country	:	US
Telephone Number	:	813-977-9919
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	07/08/2007

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