Provider Demographics
NPI:1174733042
Name:PAPAGEORGIOU, ANASTASIA (RPHT)
Entity type:Individual
Prefix:MRS
First Name:ANASTASIA
Middle Name:
Last Name:PAPAGEORGIOU
Suffix:
Gender:F
Credentials:RPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4414 BLONIGEN AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-8004
Mailing Address - Country:US
Mailing Address - Phone:407-249-2665
Mailing Address - Fax:
Practice Address - Street 1:4400 HOFFNER AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-2302
Practice Address - Country:US
Practice Address - Phone:407-438-5300
Practice Address - Fax:407-438-8006
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3701-0106-0953-846183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0556050349Medicare ID - Type Unspecified