Individual
RODAMANTHOS NICHOLAS KOKOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 N PINELLAS AVE, TARPON SPRINGS, FL 34689-3415
(727) 939-3090
(727) 939-3091
Mailing address
1 N PINELLAS AVE, TARPON SPRINGS, FL 34689-3415
(727) 939-3090
(727) 939-3091
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
234183
NY
207R00000X
Internal Medicine Physician
ME114286
FL
207RC0000X
Cardiovascular Disease Physician
234183
NY
207RC0000X
Cardiovascular Disease Physician
Primary
ME114286
FL
Other
Enumeration date
12/06/2006
Last updated
10/04/2012
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