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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VIVIAN NIA KOUFOGAZOS, PA-C

Active Sole Proprietor

VIVIAN NIA KOUFOGAZOS, PA-C is a Physician Assistant healthcare provider located in LUTZ, Florida. NPI 1083480636 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LUTZ, FL

Registration Details

NPI Number
1083480636
Provider Type
Individual
Gender
Female
NPI Issued
Nov 27, 2023 (2.566650334388 yrs)
Last Updated
Nov 27, 2023
License
PA9118111 (FL)
Sole Proprietor
Yes

Practice Information

Address
18981 N DALE MABRY HWY
LUTZ, FL, 335484981
Browse FL providers · Browse ZIP 33548
Phone
8133885922
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LUTZ, FL

Name Credential NPI
BETH ANN M LEAF P.A. 1801809363
JAMES D CARDINALE PA-C 1144347808
EMILY A MARTIN P.A 1891917357
JAMES CORNELIUS BROWN II PA-C 1821295866
MRS. JENNIFER LYNN CALL PA-C 1013195726
MRS. KAREN MARIE WILCOX P.A.-C 1124359609
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.