Healthcare Provider Details

I. General information

NPI: 1528358397
Provider Name (Legal Business Name): KATHERINE APOSTOLAKIS-KYRUS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2011
Last Update Date: 12/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 6TH AVE S SUITE 340
ST PETERSBURG FL
33701-4662
US

IV. Provider business mailing address

3102 W WALLCRAFT AVE
TAMPA FL
33611-1943
US

V. Phone/Fax

Practice location:
  • Phone: 727-553-7903
  • Fax:
Mailing address:
  • Phone: 757-639-6010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberME128467
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: