Individual
BRIDGET ELENI KAPSOKAVATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4434
(813) 844-4467
Mailing address
1268 SOUTHFIELD RD, BIRMINGHAM, MI 48009-3082
(813) 789-1678
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
973712
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2630332
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437268026
MEDICARE PTAN
MI
01
—
1811044878
MEDICARE GROUP NPI
MI
05
—
307098100
—
FL
01
—
G3801
FL BCBS PROVIDER #
FL
Enumeration date
06/01/2006
Last updated
02/03/2025
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