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NPI Code Detail

MEDICARE: KATHY GEORGIOU TJAMALOUKAS D.P.M.

MEDICARE: KATHY GEORGIOU TJAMALOUKAS D.P.M.
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
1213ES0103XFoot & Ankle Surgery PodiatristPO3238FL

General Provider Information

NPI Number : 1710012349
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY GEORGIOU TJAMALOUKAS D.P.M.
Provider Business Mailing Address
First Line : 2716 STONEWOOD PARK LOOP
Second Line :
City : LAND O LAKES
State : FL
Zip : 34638-6213
Country : US
Telephone Number : 813-909-0865
Fax Number :
Provider Business Practice Location Address
First Line : 2716 STONEWOOD PARK LOOP
Second Line :
City : LAND O LAKES
State : FL
Zip : 34638-6213
Country : US
Telephone Number : 813-909-0865
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 09/04/2020

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