Individual
DR. ELEFTERIOS T NIKOLAIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 WATERMAN WAY, TAVARES, FL 32778-5266
(352) 253-3374
(352) 343-7010
Mailing address
2755 S BAY ST, SUITE C, EUSTIS, FL 32726-6587
(352) 253-3374
(352) 589-4140
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME0040164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036153400
—
FL
Enumeration date
06/15/2006
Last updated
02/10/2012
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