Constantine Petropoulos in Dania Beach - Nutrition Support
Constantine Petropoulos - NPI 1295720381
Constantine Petropoulos is a Nutrition Support in Dania Beach, Florida. Constantine Petropoulos practices all healthcare services and medical treatments related to Nutrition Support. The NPI Number for Constantine Petropoulos is 1295720381. The last update date is 2007-07-08.
Constantine Petropoulos's current location address is 200 Se 5th Ave, Dania Beach, Florida. You can contact this provider via phone number 9549274280 and fax number 3055753394. The mailing address for Constantine Petropoulos is 200 Se 5th Ave, Dania Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Constantine Petropoulos |
|---|---|
| Address | 200 Se 5th Ave, Dania Beach, Florida |
| Phone Number | 9549274280 |
| Fax Number | 3055753394 |
| Sole Proprietor | X |
| Credentials | PHARM D, M |
NPI Number Detail
| NPI Number | 1295720381 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 Se 5th Ave |
|---|---|
| City | Dania Beach |
| State | Florida (FL) |
| Post Code | 330044073 |
| Phone Number | 9549274280 |
| Fax Number | 3055753394 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition Support |
|---|---|
| Taxonomy | 1835N1003X |
| Licence No | PS34015 |
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Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
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What is the unique identifier code issued to Constantine Petropoulos by the Centers for Medicare & Medicaid Services?
The Constantine Petropoulos has been assigned the NPI (National Provider Identifier) 1295720381. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Constantine Petropoulos is physically located?
The Constantine Petropoulos is situated at the following address: 200 Se 5Th Ave, Dania Beach, FL 330044073.
What is the Constantine Petropoulos's specialty and taxonomy code?
The Constantine Petropoulos's specialty is Nutrition Support, and the corresponding taxonomy code is 1835N1003X.
On what date did Constantine Petropoulos receive its 1295720381 assignment from the Centers for Medicare & Medicaid Services?
The Constantine Petropoulos was assigned its 1295720381 on 2005-09-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Constantine Petropoulos last refreshed?
The information related to the Constantine Petropoulos, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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