Individual
ANDREW COUNDOURIOTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5600 22ND ST N, ST PETERSBURG, FL 33714-2126
(727) 525-9900
(727) 525-9200
Mailing address
5600 22ND ST N, ST PETERSBURG, FL 33714-2126
(727) 525-9900
(727) 525-9200
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
ME0061858
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370923000
—
FL
Enumeration date
11/07/2005
Last updated
10/22/2014
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