MEDICARE: KATHLEEN DEMETRIOU

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	363LW0102X	Women's Health Nurse Practitioner	11045165	FL

General Provider Information

NPI Number	:	1831049501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN DEMETRIOU

Provider Business Mailing Address
First Line	:	14541 BAY HILLS DR
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33774-5042
Country	:	US
Telephone Number	:	715-559-9298
Fax Number	:

Provider Business Practice Location Address
First Line	:	10011 SEMINOLE BLVD
Second Line	:
City	:	SEMINOLE
State	:	FL
Zip	:	33772-2539
Country	:	US
Telephone Number	:	727-393-2800
Fax Number	:

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

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “ KATHLEEN DEMETRIOU ” Practice Location

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