KONSTANTINOS MANIATAKIS

JACKSONVILLE, FL
NPI1396272340
Professional NameKOSTA MANIATAKIS
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  APRN9310132)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN9310132)
Enumeration Date2017-05-20
Last Update Date2023-09-28
Business Address
KONSTANTINOS MANIATAKIS APRN
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204-1177
Phone number: 904-384-2240
Mailing Address
KONSTANTINOS MANIATAKIS APRN
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204-1177
Phone number: 904-384-2240