Individual
GEORGIS PATSIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3347 STATE ROAD 7, SUITE 101, WELLINGTON, FL 33449-8095
(561) 790-2111
(561) 790-0348
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0049282
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004500
CAREPLUS
FL
01
—
1249251
WELLCARE
FL
01
—
18997
BCBS
FL
01
—
3615094
KEYS PHA - CIGNA
FL
05
—
373720900
—
FL
01
—
4311
DIMENSIONS
FL
01
—
5500033
AETNA
FL
01
—
P01596409
RR MEDICARE
FL
01
—
P102736
OPTIMUN
FL
01
—
P107179
FREEDOM
FL
Enumeration date
12/08/2005
Last updated
03/28/2017
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