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Individual

CATHERINE STANIMIROV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
2123 W DR MARTIN LUTHER KING JR BLVD STE 103, TAMPA, FL 33607-6545
(813) 999-1716
Mailing address
1001 N MACDILL AVE STE B, TAMPA, FL 33607-5152
(917) 930-0497

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005558-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02049838
NY
Enumeration date
08/10/2006
Last updated
11/10/2020
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