Individual
ANA CAROLINA KOUTSOTHANASIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 14TH ST SW, LARGO, FL 33770-3199
(727) 588-5200
Mailing address
8960 DORCHESTER ST, FORT MYERS, FL 33907-5911
(239) 600-0440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME156572
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2019
Last updated
02/07/2023
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