Organization
HIPPOCRATIC MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODAMANTHOS N KOKOLIS M.D. (MEDICAL DOCTOR)
(727) 939-3090
Entity
Organization
Contact information
Practice address
1 N PINELLAS AVE, TARPON SPRINGS, FL 34689-3415
(727) 939-3090
Mailing address
1 N PINELLAS AVE, TARPON SPRINGS, FL 34689-3415
(727) 939-3090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9106881
FL
207R00000X
Internal Medicine Physician
ME114286
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME114286
FL
Other
Enumeration date
10/22/2012
Last updated
01/23/2013
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