Individual
ANDREAS DEMOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
19277 HWY 19 N, CLEARWATER, FL 33761-7360
(713) 779-9800
Mailing address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(713) 779-9800
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
152064
FL
363AS0400X
Surgical Physician Assistant
Primary
152064
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150264
CSFA
FL
Enumeration date
08/09/2016
Last updated
10/31/2018
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