Provider Demographics
NPI:1003059825
Name:PATOUNAKIS, GEORGE (MD,)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:
Last Name:PATOUNAKIS
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 COLONIAL CENTER PKWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-7682
Mailing Address - Country:US
Mailing Address - Phone:407-804-9670
Mailing Address - Fax:407-804-9671
Practice Address - Street 1:400 COLONIAL CENTER PKWY
Practice Address - Street 2:SUITE 150
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-7682
Practice Address - Country:US
Practice Address - Phone:407-804-9670
Practice Address - Fax:407-804-9671
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME126268207VE0102X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology