Mavroudis, Constantine

Mavroudis, Constantine is an individual health care provider with primary practice located at 2501 N. Orange Ave Suite 450, Orlando FL 32804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Mavroudis, Constantine can be contacted via phone (407) 303-3692.

Contact Information

Primary practice address
2501 N. Orange Ave Suite 450 Orlando FL 32804
Phone: (407) 303-3692
Fax: (407) 303-3634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 35-092453 Ohio
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME112169 Florida

Profile Details

NPI number 1952396897
LBN Legal business name Mavroudis, Constantine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Apr 4th, 2013 - about 11 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 1952396897 NPPES
California MEDICAID XPY198252
California MEDICAID 004570600
California Other 1627123
California MEDICAID 64213531
California MEDICAID 036079315
California MEDICAID 2865896
California MEDICAID CSF715

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