Georgiadis, Constantine Alexander

Georgiadis, Constantine Alexander is an individual health care provider with primary practice located at 3000 S Mccall Rd , Englewood FL 34224-8616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Georgiadis, Constantine Alexander can be contacted via phone (941) 406-9022.

Contact Information

Primary practice address
3000 S Mccall Rd Englewood FL 34224-8616
Fax: (941) 883-4101
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37204 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS12005 Florida

Profile Details

NPI number 1689659708
LBN Legal business name Georgiadis, Constantine Alexander
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2005
Last updated Nov 25th, 2019 - about 7 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 1689659708 NPPES
Florida Other 14PK5 FL BC

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