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Individual

NISIFOROS DEMETRIOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7045 EVERGREEN WOODS TRL, SPRING HILL, FL 34608-1306
(352) 596-8371
Mailing address
192 FAIRMONT DR, SPRING HILL, FL 34609-2048
(352) 587-4834

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22390
FL

Other

Enumeration date
02/04/2020
Last updated
02/04/2020
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