| NPI | 1396272340 | 
|---|---|
| Professional Name | KOSTA MANIATAKIS | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9310132) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9310132) | 
| Enumeration Date | 2017-05-20 | 
| Last Update Date | 2023-09-28 |