Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | ME112697 | FL |
NPI | 1013168657 |
---|---|
Provider Name | Dr. George Amyradakis |
First Address | Tampa, FL 33622-5317 |
Second Address | Winter Park, FL 32789-5499 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2008 |
Last Update Date | 04/12/2012 |