Female

Ms. Jamie Koumoundouros PA

Medical Physician Assistant in St Petersburg, FL(View on Map)

Full Name

Ms. Jamie Koumoundouros PA

NPI Number

1164726055

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/06/2011

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9115204

Contact
Information

Purpose

Mailing
Location

Address

2840 CHESSINGTON DR
501 6TH AVE S

City

New Lenox
St Petersburg

State

IL
FL

Postal Code

60451-2889
33701-4634

Country

US
US

Telephone Number

N/A
(727) 767-4343

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/22/2021

Provider Address

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