Individual
DR. ELIAS TSIRAKOGLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1887 KINGSLEY AVE STE 1900, ORANGE PARK, FL 32073-4451
(904) 276-2549
Mailing address
1887 KINGSLEY AVE STE 1900, ORANGE PARK, FL 32073-4451
(904) 276-2549
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
74123
GA
208600000X
Surgery Physician
Primary
OS14459
FL
2086S0102X
Surgical Critical Care Physician
OS14459
FL
Other
Enumeration date
10/24/2014
Last updated
08/03/2022
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