Individual
DIMITRIOS PHILIPPES AGALIOTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1699 S 14TH ST STE 2, FERNANDINA BEACH, FL 32034
(904) 427-1370
Mailing address
2234 COLONIAL BLVD, ATTN: MANAGED CARE DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME0065592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000786497E
—
GA
05
—
000786497I
—
GA
01
—
1100413
CAREPLUS
FL
01
—
1245927
STAYWELL (MEDICAID) AND WELLCARE (MEDICARE)
FL
01
—
245885
AVMED
FL
05
—
253978100
—
FL
01
—
43641
BCBS
FL
01
—
P0022927
FLORIDA HEALTHCARE PLUS
FL
01
—
P01593272
RR MEDICARE
FL
01
—
P10703334
SIMPLY HEALTHCARE
FL
Enumeration date
01/12/2006
Last updated
06/28/2018
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