Provider Demographics
NPI:1912987157
Name:KOKINAKOS, CHRISTOS PETER (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOS
Middle Name:PETER
Last Name:KOKINAKOS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5210 LINTON BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6537
Mailing Address - Country:US
Mailing Address - Phone:561-638-8484
Mailing Address - Fax:561-638-8784
Practice Address - Street 1:5210 LINTON BLVD STE 202
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484
Practice Address - Country:US
Practice Address - Phone:561-638-8484
Practice Address - Fax:561-638-8784
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS6545207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF54893Medicare UPIN
FLK3537Medicare ID - Type Unspecified