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Provider Information for 1528011285

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

DR. STANTON P TRIPODIS MD

Gender: MALE

Individual NPI: 1528011285

Calendar   Last Updated:  2018-08-27
  Certification Date: 

Details

Name Value
NPI 1528011285
Enumeration Date 2006-05-17
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address PO BOX 10744
CLEARWATER, FL 33757-8744
United States

Phone: 727-532-0002 | Fax: 727-266-4943
View Map External Link
Primary Practice Address 2424 ENTERPRISE RD STE C
CLEARWATER, FL 33763
United States

Phone: 727-799-6255 | Fax: 813-635-7865
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID FL 054543100
Other RAILROAD MEDICARE FL 110009055
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207R00000X - Internal Medicine FL ME44116
No 207RG0100X - Internal Medicine Gastroenterology FL ME44116