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Contact Information

NICOLE A MAVRIDES, MD
1120 NW 14TH ST
SUITE 1466
MIAMI, FL33136-2107
 Phone: 305-243-2861
 Fax: 305-243-8532
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for NICOLE A MAVRIDES · (Female)

NPI Number 1205044476
Status Active
Credentials MD
Entity Individual
Enumeration date 05/19/2007
Last updated 09/04/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME 111503
  • NY License # 250167
  • FL Medicaid 004138900
  • FL Other ME 111503 FL STATE LICENSE
  • NY Other 250167 NY STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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