Individual provider · Type 1 NPI

Constantine Demetrios Stathis

Student in an Organized Health Care Education/Training Program · Gainesville, FL

NPI number 1952152191 Active

Practice location

1600 SW Archer Rd
Gainesville, FL 32610-3003

Call (352) 265-0077 Map

Mailing address

191 Seminole Ln Apt 302
Cocoa Beach, FL 32931-5860

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1952152191

Constantine Demetrios Stathis's National Provider Identifier is 1952152191, issued on Mar 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gainesville, FL. The record was last updated on Mar 27, 2024.