Liaros, Demetrios M.

Liaros, Demetrios M. is an individual health care provider with primary practice located at 620 10Th Street N. , St Petersburg FL 33705-1407. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Liaros, Demetrios M. can be contacted via phone (727) 824-8227.

Contact Information

Primary practice address
620 10Th Street N. St Petersburg FL 33705-1407
Fax: (727) 824-8381
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO2205 Florida

Profile Details

NPI number 1548255417
LBN Legal business name Liaros, Demetrios M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Mar 22nd, 2021 - about 3 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1548255417 NPPES
Florida MEDICAID 340367000

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