Provider Demographics
NPI:1063737682
Name:MAVROPOULOS, JOHN C (MD, MPH, PHD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:MAVROPOULOS
Suffix:
Gender:M
Credentials:MD, MPH, PHD
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Other - Middle Name:
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Mailing Address - Street 1:2121 S HIAWASSEE RD APT 4601
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-8768
Mailing Address - Country:US
Mailing Address - Phone:443-435-3517
Mailing Address - Fax:
Practice Address - Street 1:2121 S HIAWASSEE RD APT 4601
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-8768
Practice Address - Country:US
Practice Address - Phone:443-435-3517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 124728207ND0101X
NC2015-01570207ND0101X
PAMD456837207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery