Individual
ISSA E. EPHTIMIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2411 EXECUTIVE PLAZA RD, SUITE A, PENSACOLA, FL 32504-8286
(850) 912-8433
(850) 912-8584
Mailing address
2411 EXECUTIVE PLAZA RD, SUITE A, PENSACOLA, FL 32504-8286
(850) 912-8433
(850) 912-8584
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME101155
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000759100
—
FL
Enumeration date
10/19/2006
Last updated
02/23/2017
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