| Vivian Nia Koufogazos, PA-C | |
|
18981 N Dale Mabry Hwy, Lutz, FL 33548-4981 | |
| (813) 388-5922 | |
| Not Available |
| Full Name | Vivian Nia Koufogazos |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 18981 N Dale Mabry Hwy, Lutz, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083480636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9118111 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Vivian Nia Koufogazos, PA-C 18981 N Dale Mabry Hwy, Lutz, FL 33548-4981 Ph: () - | Vivian Nia Koufogazos, PA-C 18981 N Dale Mabry Hwy, Lutz, FL 33548-4981 Ph: (813) 388-5922 |
Sarah Renee Bush, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 24632 State Road 54, Lutz, FL 33559 Phone: 813-948-6335 | |
Kendall Brodie Northcutt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1854 Oak Grove Blvd, Lutz, FL 33559 Phone: 813-471-9709 Fax: 813-681-1191 | |
Mrs. Karen Marie Wilcox, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19105 Us Highway 41n, Suite 100, Lutz, FL 33549 Phone: 813-269-2700 | |
James D Cardinale, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1942 Highland Oaks Blvd, Suite A, Lutz, FL 33559 Phone: 813-948-3838 Fax: 813-949-0629 | |
Ky Dau, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5332 Van Dyke Rd, Lutz, FL 33558 Phone: 813-960-1200 Fax: 813-441-7555 | |
Mrs. Makenzie Jane Hilgenberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18956 N Dale Mabry Hwy Ste 102, Lutz, FL 33548 Phone: 813-948-8597 Fax: 813-949-5919 |