Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | ME126268 | FL |
N | 207VG0400X | Gynecologist | ME126268 | FL |
NPI | 1003059825 |
---|---|
Provider Name | Dr. George Patounakis |
First Address | Lake Mary, FL 32746-7682 |
Second Address | Lake Mary, FL 32746-7682 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2009 |
Last Update Date | 16/01/2017 |