Provider Demographics
NPI:1659442101
Name:PAPPAS, CAROL LYNN (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:LYNN
Last Name:PAPPAS
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Gender:F
Credentials:MD PHD
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Mailing Address - Street 1:2191 9TH AVE N
Mailing Address - Street 2:SUITE 230
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-7146
Mailing Address - Country:US
Mailing Address - Phone:727-321-5212
Mailing Address - Fax:727-321-0266
Practice Address - Street 1:2191 9TH AVE N
Practice Address - Street 2:SUITE 230
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-7146
Practice Address - Country:US
Practice Address - Phone:727-321-5212
Practice Address - Fax:727-321-0266
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLA403762084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology