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Individual

DR. STELIOS REKKAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
232 MANATEE AVENUE EAST, BRADENTON, FL 34208-1932
(941) 254-4957
(941) 254-4958
Mailing address
367 S. GULPH RD, ATT IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(775) 356-9393
(775) 356-5590

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
110761
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006798500
FL
01
14M8R
BCBS
FL
Enumeration date
06/13/2011
Last updated
07/21/2022
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