Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | ME92429 | FL |
NPI | 1205035755 |
---|---|
Provider Name | Effie Pappas Politis |
First Address | St Petersburg, FL 33743-9106 |
Second Address | Tampa, FL 33607-3804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2007 |
Last Update Date | 08/07/2019 |