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Provider Information for 1124323860

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

GINA RAPTOULIS D.O.

Gender: FEMALE

Individual NPI: 1124323860

Calendar   Last Updated:  2016-12-06
  Certification Date: 

Details

Name Value
NPI 1124323860
Enumeration Date 2011-01-11
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 32615 US 19 N SUITE 2
PALM HARBOR, FL 34684-3176
United States

Phone: 727-789-2784 | Fax: 727-785-3537
View Map External Link
Primary Practice Address 32615 US 19 N SUITE 2
PALM HARBOR, FL 34684-3176
United States

Phone: 727-789-2784 | Fax: 727-785-3537
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207RR0500X - Internal Medicine Rheumatology FL OS11500