Individual
MS. JAMIE KOUMOUNDOUROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-4343
(727) 767-6463
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115204
FL
363AM0700X
Medical Physician Assistant
Primary
PA9115204
FL
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112352400
—
FL
01
—
U5ZE3
BCBS
FL
Enumeration date
01/06/2011
Last updated
02/06/2026
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