Individual
CHRIS DIMITRIOS IDARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP-AC
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-3333
Mailing address
2728 DADE AVE APT 2523, ORLANDO, FL 32804-4708
(978) 602-7823
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
11025159
FL
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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