Individual
DR. ATHENA THEODOSATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO MPH
Contact information
Practice address
3030 E SEMORAN BLVD STE 258, APOPKA, FL 32703-5900
(407) 671-3634
(407) 986-6033
Mailing address
3030 E SEMORAN BLVD STE 258, APOPKA, FL 32703-5900
(407) 671-3634
(407) 986-6033
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS10497
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001101800
—
FL
01
—
146TM
BCBSFL
FL
Enumeration date
02/16/2009
Last updated
10/16/2025
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