VIVIAN NIA KOUFOGAZOS

LUTZ, FL
NPI1083480636
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9118111)
Enumeration Date2023-11-27
Last Update Date2023-11-27
Business Address
VIVIAN NIA KOUFOGAZOS PA-C
18981 N DALE MABRY HWY
LUTZ, FL 33548-4981
Phone number: 813-388-5922
Mailing Address
VIVIAN NIA KOUFOGAZOS PA-C
18981 N DALE MABRY HWY
LUTZ, FL 33548-4981
Phone number:
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