Provider Demographics
NPI:1912707100
Name:KONTIS, SOTERIA (HEALTH COACH)
Entity type:Individual
Prefix:
First Name:SOTERIA
Middle Name:
Last Name:KONTIS
Suffix:
Gender:
Credentials:HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4231 PONDAPPLE DR
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32796-1464
Mailing Address - Country:US
Mailing Address - Phone:843-270-5628
Mailing Address - Fax:
Practice Address - Street 1:4231 PONDAPPLE DR
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32796-1464
Practice Address - Country:US
Practice Address - Phone:843-270-5628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL25000074727174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator