Provider Demographics
NPI:1699324673
Name:DEMETRI ARNAOUTAKIS MD PC
Entity type:Organization
Organization Name:DEMETRI ARNAOUTAKIS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACIAL PLASTIC SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:DEMETRI
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNAOUTAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-603-3110
Mailing Address - Street 1:607 S MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2725
Mailing Address - Country:US
Mailing Address - Phone:813-603-3110
Mailing Address - Fax:
Practice Address - Street 1:607 S MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2725
Practice Address - Country:US
Practice Address - Phone:813-603-3110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Single Specialty