Provider Demographics
NPI:1144960436
Name:KOUNTOUROGIANNI JAVED, ORAIANTHI
Entity type:Individual
Prefix:
First Name:ORAIANTHI
Middle Name:
Last Name:KOUNTOUROGIANNI JAVED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:472 ALINOLE LOOP
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-2232
Mailing Address - Country:US
Mailing Address - Phone:321-249-7712
Mailing Address - Fax:
Practice Address - Street 1:472 ALINOLE LOOP
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2232
Practice Address - Country:US
Practice Address - Phone:321-249-7712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-01
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider