Agaliotis, Dimitrios Philippes

Agaliotis, Dimitrios Philippes is an individual health care provider with primary practice located at 1699 S 14Th St Ste 2 , Fernandina Beach FL 32034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Agaliotis, Dimitrios Philippes can be contacted via phone (904) 427-1370.

Contact Information

Primary practice address
1699 S 14Th St Ste 2 Fernandina Beach FL 32034
Phone: (904) 427-1370
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME0065592 Florida

Profile Details

NPI number 1790764272
LBN Legal business name Agaliotis, Dimitrios Philippes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jun 28th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790764272 NPPES
Georgia MEDICAID 000786497E
Georgia MEDICAID 253978100
Georgia MEDICAID 000786497I
Georgia Other 43641
Georgia Other 245885
Georgia Other P01593272
Georgia Other 1100413
Georgia Other 1245927
Georgia Other P0022927
Georgia Other P10703334

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