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Individual

MRS. ANNAMARIE KISGEROPOULOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
305 MEMORIAL MEDICAL PKWY STE 206, DAYTONA BEACH, FL 32117-5169
(407) 384-7388
(407) 384-1140
Mailing address
6213 WOODHAVEN VILLAGE DR, PORT ORANGE, FL 32128-6850
(386) 341-0652

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
9112758
FL
363A00000X
Physician Assistant
Primary
PA9112758
FL

Other

Enumeration date
11/18/2019
Last updated
01/12/2025
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