Individual
DR. LOUIS R MAVRIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5275 PINEVIEW WAY, APOPKA, FL 32703-1962
(407) 295-5800
(407) 295-5800
Mailing address
5275 PINEVIEW WAY, APOPKA, FL 32703-1962
(407) 522-4652
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY0004756
FL
103TC0700X
Clinical Psychologist
Primary
PY0004756
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1537714
UNITED MINE WORKERS OF AM
CA
01
—
61-57441
UNITED HEALTH CARE
FL
Enumeration date
10/12/2006
Last updated
09/11/2025
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