Organization
LAGNOS LLC
Active
Other names
Giorgio Vlassiou Medspa
Organization subpart
No
Provider details
NPI number
Authorized official
DIMITRIOS HATZIVLASSIOU MD (MEMBER/ SOLE OWNER)
(352) 353-0557
Entity
Organization
Contact information
Practice address
2400 S HWY 27, SUITE 4309, CLERMONT, FL 34711-6816
(352) 353-0557
Mailing address
2400 S HWY 27, SUITE 4309, CLERMONT, FL 34711-6816
(352) 353-0557
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME84252
FL
Other
Enumeration date
04/19/2009
Last updated
04/19/2009
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