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Individual

ELPITHA K TSISKAKIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5415 PARK CENTRAL CT, NAPLES, FL 34109-6005
(239) 936-3344
Mailing address
4944 ESPLANADE ST, BONITA SPRINGS, FL 34134-3986
(239) 438-6716

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
56550
CA
363AM0700X
Medical Physician Assistant
Primary
PA9115892
FL

Other

Enumeration date
05/13/2019
Last updated
08/12/2022
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