Elia C Mavrofrides in Jacksonville - Retina Specialist
Elia C Mavrofrides - NPI 1396745105
Elia C Mavrofrides is a Retina Specialist in Jacksonville, Florida. Elia C Mavrofrides practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Elia C Mavrofrides is 1396745105. The last update date is 2023-04-20.
Elia C Mavrofrides's current location address is 8786 Perimeter Park Blvd, Jacksonville, Florida. You can contact this provider via phone number 9049979202 and fax number 9049961446. The mailing address for Elia C Mavrofrides is 8786 Perimeter Park Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elia C Mavrofrides |
|---|---|
| Address | 8786 Perimeter Park Blvd, Jacksonville, Florida |
| Phone Number | 9049979202 |
| Fax Number | 9049961446 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1396745105 |
|---|---|
| Provider Enumeration Date | 2005-07-22 |
| Last Updated Date | 2023-04-20 |
Provider Mailing Address Detail
| Address | 8786 Perimeter Park Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322166347 |
| Phone Number | 9049979202 |
| Fax Number | 9049961446 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | ME85097 |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 264820200 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Elia C Mavrofrides by the Centers for Medicare & Medicaid Services?
The Elia C Mavrofrides has been assigned the NPI (National Provider Identifier) 1396745105. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Elia C Mavrofrides is geographically located?
The Elia C Mavrofrides is physically situated at the following location: 8786 Perimeter Park Blvd, Jacksonville, FL, 322166347.
What is Elia C Mavrofrides's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Elia C Mavrofrides is Retina Specialist, and the taxonomy code that categorizes this field of expertise is 207Wx0107X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396745105 to Elia C Mavrofrides?
The Elia C Mavrofrides received its 1396745105 assignment from the Centers for Medicare & Medicaid Services on 2005-07-22.
When was the information related to Elia C Mavrofrides most recently updated or refreshed?
The details pertaining to the Elia C Mavrofrides, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-04-20.