Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME0080012 | FL |
NPI | 1386781409 |
---|---|
Provider Name | Dr. Constantine A Toumbis |
First Address | Crystal River, FL 34429-8721 |
Second Address | Crystal River, FL 34429-8721 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 06/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
269693200 | (05) | FL |
I07040 | (02) | FL |