Provider Demographics
NPI:1265094502
Name:EFFIE PAPPAS POLITIS, MD P.A.
Entity type:Organization
Organization Name:EFFIE PAPPAS POLITIS, MD P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EFFIE
Authorized Official - Middle Name:PAPPAS
Authorized Official - Last Name:POLITIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-494-2725
Mailing Address - Street 1:PO BOX 49106
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33743-9106
Mailing Address - Country:US
Mailing Address - Phone:272-695-6187
Mailing Address - Fax:727-265-3420
Practice Address - Street 1:5016 W CYPRESS ST STE 200
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-3804
Practice Address - Country:US
Practice Address - Phone:813-542-2587
Practice Address - Fax:813-392-1944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty