Individual provider · Type 1 NPI

Annamarie Kisgeropoulos, PA-C

Physician Assistant · Daytona Beach, FL

NPI number 1962047670 Active

Practice location

305 Memorial Medical Pkwy Ste 206
Daytona Beach, FL 32117-5169

Call (407) 384-7388 Map

Fax (407) 384-1140

Mailing address

6213 Woodhaven Village Dr
Port Orange, FL 32128-6850

Specialties and licenses

TaxonomyCodeLicense
Colon & Rectal Surgery Physician 208C00000X9112758 (FL)
Physician Assistant Primary 363A00000XPA9112758 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1962047670

Annamarie Kisgeropoulos, PA-C's National Provider Identifier is 1962047670, issued on Nov 18, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Jan 12, 2025.