Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chris Dimitrios Idaris, CPNP-AC

Individual provider Critical Care Pediatric Nurse Practitioner · NPI 1104527290

Chris Dimitrios Idaris, CPNP-AC is a Critical Care Pediatric Nurse Practitioner in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

501 6th Ave S
St Petersburg, FL 33701-4634
Phone: (727) 767-3333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Pediatric Nurse Practitioner (primary) Taxonomy 363LP0222X · Licence 11025159 (FL)

Record details

NPI number1104527290
Entity typeIndividual (Type 1)
GenderMale
Credentials CPNP-AC
Sole proprietorNo
NPI enumeratedMarch 15, 2023
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023

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