Giorgio Vlassiou Medspa | |
2400 S Hwy 27 Suite 4309 Clermont FL 34711-6816 | |
(352) 353-0557 | |
Not Available |
Full Name | Giorgio Vlassiou Medspa |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2400 S Hwy 27, Clermont, Florida |
Authorized Official Name and Position | Dimitrios Hatzivlassiou (MEMBER/ SOLE OWNER) |
Authorized Official Contact | 3523530557 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Giorgio Vlassiou Medspa 2400 S Hwy 27 Suite 4309 Clermont FL 34711-6816 Ph: (352) 353-0557 | Giorgio Vlassiou Medspa 2400 S Hwy 27 Suite 4309 Clermont FL 34711-6816 Ph: (352) 353-0557 |
NPI Number | 1215170378 |
---|---|
Provider Enumeration Date | 04/19/2009 |
Last Update Date | 04/19/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215170378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME84252 (Florida) | Primary |
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