Papavasiliou, John

Papavasiliou, John is an individual health care provider with primary practice located at 3625 University Blvd S Emergency Department, Jacksonville FL 32216-4207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Papavasiliou, John can be contacted via phone (904) 346-3606.

Contact Information

Primary practice address
3625 University Blvd S Emergency Department Jacksonville FL 32216-4207
Fax: (904) 346-0113
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X ME0066371 Florida

Profile Details

NPI number 1902884109
LBN Legal business name Papavasiliou, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jul 9th, 2007 - about 19 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 1902884109 NPPES
Georgia MEDICAID 00672328B
Georgia Other 26489

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