Individual
AMIE BETH GERODIMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1303 W KENNEDY BLVD, TAMPA, FL 33606-1848
(813) 893-6330
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
OS-22472
FL
2084P0800X
Psychiatry Physician
Primary
OS-22472
FL
2084P0804X
Child & Adolescent Psychiatry Physician
OS-22472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127368600
—
FL
01
—
LEOIZ
BCBS
FL
Enumeration date
03/20/2019
Last updated
11/13/2025
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