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Contact Information

CONSTANTINE MAVROUDIS, MD
2501 N. ORANGE AVE
SUITE 450
ORLANDO, FL32804
 Phone: 407-303-3692
 Fax: 407-303-3634
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Pediatric Surgery

2086S0120X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CONSTANTINE MAVROUDIS · (Male)

NPI # 1952396897
Status Active
Credentials MD
Entity Individual
Enumeration date 09/16/2005
Last updated 04/04/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME112169
  • OH License # 35-092453
  • CA Medicaid XPY198252
  • FL Medicaid 004570600
  • IL Medicaid 036079315
  • KY Medicaid 64213531
  • OH Medicaid 2865896
  • WV Medicaid CSF715
  • IL Other 1627123 BCBS PROVIDER ID
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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