Ekladios, Mina
Ekladios, Mina is an individual health care provider with primary practice located at 10710 State Road 54 Ste 108 , Trinity FL 34655-2263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ekladios, Mina can be contacted via phone (727) 376-4040.Contact Information
Primary practice address
10710 State Road 54 Ste 108
Trinity FL 34655-2263
Phone: (727) 376-4040
Fax: (727) 376-8824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME163708 | Florida |
Profile Details
| NPI number | 1205281409 |
|---|---|
| LBN Legal business name | Ekladios, Mina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2016 |
| Last updated | Nov 6th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205281409 | NPPES |
| Florida | MEDICAID | 119275800 |
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