Organization
CHRISTOPHER J MAVROIDES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER J MAVROIDES M.D. (OWNER)
(863) 763-5666
Entity
Organization
Contact information
Practice address
1713 HWY 441 N, SUITE A, OKEECHOBEE, FL 34972-1900
(863) 763-5666
(863) 763-0121
Mailing address
1713 HWY 441 N, SUITE A, OKEECHOBEE, FL 34972-1900
(863) 763-5666
(863) 763-0121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061299501
—
FL
01
—
09288
BCBS
FL
01
—
110164184
RAIL ROAD MEDICARE
FL
Enumeration date
10/11/2007
Last updated
08/19/2014
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