Provider Demographics
NPI:1750414280
Name:GEORGIOU, IOANNIS JOHN (PA-C)
Entity type:Individual
Prefix:MR
First Name:IOANNIS
Middle Name:JOHN
Last Name:GEORGIOU
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:4250 ALAFAYA TRL STE 212
Mailing Address - Street 2:PMB 405
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9424
Mailing Address - Country:US
Mailing Address - Phone:407-681-2022
Mailing Address - Fax:
Practice Address - Street 1:4000 CENTRAL FLORIDA BLVD
Practice Address - Street 2:UCF HEALTH CENTER
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32816-8005
Practice Address - Country:US
Practice Address - Phone:407-823-2646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA3212363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical