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Individual

REBECCA KOSTOPOULOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
185 SW 7TH ST APT 4207, MIAMI, FL 33130-2988
(941) 914-1287
Mailing address
185 SW 7TH ST APT 4207, MIAMI, FL 33130-2988
(941) 914-1287

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
401653
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9371094
FL

Other

Enumeration date
02/19/2014
Last updated
02/19/2014
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