Provider Demographics
NPI:1013176734
Name:PLAKAS, CONSTANTINE ELEFTERIOS (MD)
Entity Type:Individual
Prefix:DR
First Name:CONSTANTINE
Middle Name:ELEFTERIOS
Last Name:PLAKAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10201 ARCOS AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-9461
Mailing Address - Country:US
Mailing Address - Phone:239-908-3938
Mailing Address - Fax:239-676-7947
Practice Address - Street 1:10201 ARCOS AVE STE 202
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-9461
Practice Address - Country:US
Practice Address - Phone:239-908-3938
Practice Address - Fax:239-676-7947
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2023-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY275307207T00000X
FLME123748207T00000X, 207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015035700Medicaid