Individual
VASILEIOS KARANTALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4715 S FLORIDA AVE STE 200, LAKELAND, FL 33813-2101
(863) 209-7004
Mailing address
1395 NW 167TH ST APT 6P, MIAMI GARDENS, FL 33169-5710
(863) 209-7004
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME147951
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/25/2015
Last updated
04/29/2021
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