Provider Demographics
NPI:1194883272
Name:ARMAS-KOLOSTROUBIS, LAURA NOELIA (MD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:NOELIA
Last Name:ARMAS-KOLOSTROUBIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4440 FRUITVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-1926
Mailing Address - Country:US
Mailing Address - Phone:941-366-0134
Mailing Address - Fax:941-404-1760
Practice Address - Street 1:1231 N TUTTLE AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-3116
Practice Address - Country:US
Practice Address - Phone:941-366-0134
Practice Address - Fax:941-210-3702
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME112207207RI0200X, 207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFY288WMedicare PIN
H10252Medicare UPIN
TXTXB120649Medicare PIN
H10252Medicare UPIN
TX8U7232OtherBCBS
TX107491614Medicaid
TX107491620Medicaid
TX107491616Medicaid
TX141412001Medicaid
TX107491602Medicaid
TX107491605Medicaid
TX107491619Medicaid
TX107491607Medicaid
TX107491609Medicaid
TX107491610Medicaid
TX107491612Medicaid