Kisgeropoulos, Annamarie

Kisgeropoulos, Annamarie is an individual health care provider with primary practice located at 305 Memorial Medical Pkwy Ste 206 , Daytona Beach FL 32117-5169. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kisgeropoulos, Annamarie can be contacted via phone (407) 384-7388.

Contact Information

Primary practice address
305 Memorial Medical Pkwy Ste 206 Daytona Beach FL 32117-5169
Phone: (407) 384-7388
Fax: (407) 384-1140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 9112758 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9112758 Florida

Profile Details

NPI number 1962047670
LBN Legal business name Kisgeropoulos, Annamarie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2019
Last updated Jan 12th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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