Individual
ELEFTHERIOS P MAMOUNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 N ORANGE AVE STE 389, ORLANDO, FL 32804-4623
(407) 303-5214
Mailing address
2501 N ORANGE AVE STE 389, ORLANDO, FL 32804-4623
(407) 303-5214
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35072102M
OH
208600000X
Surgery Physician
Primary
ME114413
FL
2086X0206X
Surgical Oncology Physician
ME114413
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007147900
—
FL
05
—
0962490
—
OH
01
—
ME114413
MEDICAL LICENSE
FL
Enumeration date
04/28/2006
Last updated
05/13/2024
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