Mavrofrides, Elia C

Mavrofrides, Elia C is an individual health care provider with primary practice located at 95 Columbia St , Orlando FL 32806-1101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Mavrofrides, Elia C can be contacted via phone (407) 849-9621.

Contact Information

Primary practice address
95 Columbia St Orlando FL 32806-1101
Phone: (407) 849-9621
Fax: (407) 420-4056
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X ME85097 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0085097 Florida

Profile Details

NPI number 1396745105
LBN Legal business name Mavrofrides, Elia C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Apr 20th, 2023 - about 2 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 1396745105 NPPES
Florida MEDICAID 264820200

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