Provider Demographics
NPI:1851710925
Name:PAPAS, IGNATIOS
Entity Type:Individual
Prefix:
First Name:IGNATIOS
Middle Name:
Last Name:PAPAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356 WATERFORD CIR W
Mailing Address - Street 2:
Mailing Address - City:TARPON SPGS
Mailing Address - State:FL
Mailing Address - Zip Code:34688-7240
Mailing Address - Country:US
Mailing Address - Phone:727-741-3688
Mailing Address - Fax:
Practice Address - Street 1:356 WATERFORD CIR W
Practice Address - Street 2:
Practice Address - City:TARPON SPGS
Practice Address - State:FL
Practice Address - Zip Code:34688-7240
Practice Address - Country:US
Practice Address - Phone:727-741-3688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2018-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS15429208100000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program