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Organization
CENTRAL FLORIDA PATHOLOGY GROUP,P.A.
Active
Organization
CENTRAL FLORIDA PATHOLOGY GROUP,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELEFTERIOS T NIKOLAIDIS M.D. (DIRECTOR)
(352) 343-3434
Entity
Organization
Contact information
Practice address
1000 WATERMAN WAY, TAVARES, FL 32778-5266
(352) 253-3374
(352) 589-4140
Mailing address
2755 S BAY ST, SUITE C, EUSTIS, FL 32726-6587
(352) 343-3434
(352) 589-4140
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
06/12/2006
Last updated
10/27/2020
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