Provider Demographics
NPI:1992185474
Name:PAPPAS, ALEXANDROS (DO)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDROS
Middle Name:
Last Name:PAPPAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1649 W EAU GALLIE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-4160
Mailing Address - Country:US
Mailing Address - Phone:321-255-4949
Mailing Address - Fax:321-255-0887
Practice Address - Street 1:8059 SPYGLASS HILL RD STE 101
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-8566
Practice Address - Country:US
Practice Address - Phone:321-255-4949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-01
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS16025207W00000X
DCMTL003634390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology