Individual
ELIA C MAVROFRIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95 COLUMBIA ST, ORLANDO, FL 32806-1101
(407) 849-9621
(407) 420-4056
Mailing address
8786 PERIMETER PARK BLVD, JACKSONVILLE, FL 32216-6347
(904) 997-9202
(904) 996-1446
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0085097
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
ME85097
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264820200
—
FL
Enumeration date
07/22/2005
Last updated
04/20/2023
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