Individual
DIMITRA KOSMAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
4150 N ARMENIA AVE, TAMPA, FL 33607-6448
(813) 877-6900
Mailing address
2412 8TH AVE W, BRADENTON, FL 34205-4819
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP4493
FL
171100000X
Acupuncturist
U02860
MD
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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