Dr Constantine Mavroudis, MD | |
2501 N. Orange Ave, Suite 450, Orlando, FL 32804 | |
(407) 303-3692 | |
(407) 303-3634 |
Full Name | Dr Constantine Mavroudis |
---|---|
Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 2501 N. Orange Ave, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952396897 | NPI | - | NPPES |
XPY198252 | Medicaid | CA | |
004570600 | Medicaid | FL | |
1627123 | Other | IL | BCBS PROVIDER ID |
64213531 | Medicaid | KY | |
036079315 | Medicaid | IL | |
2865896 | Medicaid | OH | |
CSF715 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 35-092453 (Ohio) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME112169 (Florida) | Primary |
Entity Name | Langhorne Cardiology Consultants, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013977941 PECOS PAC ID: 5991693327 Enrollment ID: O20040308001064 |
Mailing Address | Practice Location Address |
---|---|
Dr Constantine Mavroudis, MD 2501 N. Orange Ave, Suite 450, Orlando, FL 32804 Ph: (407) 303-3692 | Dr Constantine Mavroudis, MD 2501 N. Orange Ave, Suite 450, Orlando, FL 32804 Ph: (407) 303-3692 |
Karen Leonia Walker, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1222 S Orange Ave, Orlando, FL 32806 Phone: 321-841-7700 Fax: 321-841-7799 | |
Kevin M Beers, DO Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 92 W Miller St, Orlando, FL 32806 Phone: 321-841-6128 | |
Dr. Malek Hanano, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 5694 Windhover Dr, Orlando, FL 32819 Phone: 407-363-3449 Fax: 407-363-3450 | |
Paul Allen Thompson, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 217 Hillcrest St, Orlando, FL 32801 Phone: 407-425-1566 Fax: 407-422-0166 | |
Dr. Alan D. Johnston, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1400 S Orange Ave, Orlando, FL 32806 Phone: 407-648-3800 Fax: 407-425-5203 | |
Dr. Anthony Ian Nunez, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 13800 Veterans Way, Orlando, FL 32827 Phone: 407-631-1000 Fax: 407-513-9658 | |
Dr. Tain-yen Hsia, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 92 W Miller St, Orlando, FL 32806 Phone: 407-649-6907 Fax: 407-481-2032 |