Provider Demographics
NPI:1104020759
Name:DEMETRIOU, PANAGIOTA (ARNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:PANAGIOTA
Middle Name:
Last Name:DEMETRIOU
Suffix:
Gender:F
Credentials:ARNP-BC
Other - Prefix:
Other - First Name:PANAGIOTA
Other - Middle Name:
Other - Last Name:SOTIROPOULOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP-BC
Mailing Address - Street 1:2734 WINDGUARD CIRCLE, SUITE 101
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544
Mailing Address - Country:US
Mailing Address - Phone:813-501-4130
Mailing Address - Fax:
Practice Address - Street 1:2734 WINDGUARD CIRCLE, SUITE 101
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544
Practice Address - Country:US
Practice Address - Phone:813-501-4130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9188550363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQ04446Medicare UPIN