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Individual

REBECCA KALOUDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1005 PINELLAS ST, CLEARWATER, FL 33756-3432
(727) 446-2111
(727) 447-2131
Mailing address
1005 PINELLAS ST, CLEARWATER, FL 33756-3432
(727) 446-2111
(727) 447-2131

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
021327
NY
363A00000X
Physician Assistant
PA9115337
FL
363AM0700X
Medical Physician Assistant
Primary
PA9115337
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113856700
FL
Enumeration date
09/20/2017
Last updated
09/27/2024
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