Individual
DR. ANTONIOS DIMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13589 SR 54, ODESSA, FL 33556-3527
(813) 345-3917
Mailing address
3348 FRANCOA DR, ODESSA, FL 33556-4456
(727) 505-5099
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS65236
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS65236
FL - DEPARTMENT OF HEALTH
FL
Enumeration date
01/04/2023
Last updated
01/04/2023
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