Individual
DR. CHRISOULA KIRIAZIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1007 JEFFORDS ST, SUITE 101, CLEARWATER, FL 33756-4023
(727) 442-5123
(813) 635-2657
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME63980
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003621800
—
FL
01
—
110105219
RAILROAD MEDICARE NUMBER
FL
Enumeration date
05/24/2006
Last updated
07/15/2011
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