JOHN C MAVROPOULOS


Address: 4197 Woodlands Pkwy, Palm Harbor, FL 34685
Phone: 7277863810

JOHN C MAVROPOULOS (NPI# 1063737682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063737682
Entity Type Individual
Full Name JOHN C MAVROPOULOS
Credential M.D., M.P.H., PH.D.
Practice Address 4197 Woodlands Pkwy
Palm Harbor
FL 34685
Mailing Address 30 Forest Green Dr
Durham
NC 27705-6153
Practice Telephone 7277863810
Practice Fax Number 7277863855
Mailing Telephone 4434353517
Enumeration Date 2010-04-07
Last Update Date 2019-08-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
ME 124728 FL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
30 Forest Green Dr, Durham, NC 277056153 4434353517
401 Corbett St., Suite 200, Clearwater, FL 337567302 7272501115 7274759015

Office Location

Street Address 4197 WOODLANDS PKWY
City PALM HARBOR
State FL
Zip Code 34685

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659564193 Amy Simon Ross Dermatology 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 2007-08-18
1427662444 Jacquelyn Bliss Katchuk Sexton Nurse Practitioner 4197 Woodlands Pkwy, Palm Harbor, FL 34685-3493 2020-09-08
1578059606 Julie Corinne Bucciarelli Nurse Practitioner 4197 Woodlands Pkwy, Palm Harbor, FL 34685-3493 2018-07-01
1720423932 Alexis B Honigbaum Dermatology 4197 Woodlands Pkwy, Palm Harbor, FL 34685-2823 2013-05-01
1598020059 Brandon Shutty Dermatology 4197 Woodlands Pkwy, Palm Harbor, FL 34685-3493 2012-07-11
1235460528 Ashlee Eberhardt Kirkland Physician Assistant 4197 Woodlands Pkwy, Palm Harbor, FL 34685-3493 2010-01-26
1265763676 Anna Shaw Nurse Practitioner 4197 Woodlands Pkwy, Palm Harbor, FL 34685-3493 2010-01-25
1376773697 Audrey Friedland Ford Physician Assistant 4197 Woodlands Pkwy, Palm Harbor, FL 34685-3493 2009-07-21
1497927016 Palm Harbor Dermatology Pa Dermatology 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 2008-03-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427663376 Laura Ashley Birch Williams Physical Therapy Assistant 4168 Woodlands Pkwy # A, Palm Harbor, FL 34685 2020-09-08
1356993398 Gary Barbosa Podiatrist 3182 Edgemoore Drive, Palm Harbor, FL 34685 2019-07-10
1093277162 Raza Zaidi Student in an Organized Health Care Education/Training Program 3818 Ambassador Dr, Palm Harbor, FL 34685 2019-04-05
1366965063 Crestar Labs Fl LLC Clinical Medical Laboratory 4714 Ayron Terrace, Palm Harbor, FL 34685 2017-07-25
1497284038 Jacquelle Davis Social Worker 1261 Bay Harbor Dr Apt 201, Palm Harbor, FL 34685 2017-06-07
1649693888 Marliss Rae Jones Social Worker 1107 Mainsail Circle, Palm Harbor, FL 34685 2014-01-23
1427489152 Best At Home Care LLC In Home Supportive Care 1801 East Lake Rd, #3a, Palm Harbor, FL 34685 2013-12-05
1457622292 Dennis Hamilton Pharmacist 3420 East Lake Rd, Palm Harbor, FL 34685 2012-01-25
1275770448 Amy Beach Harcourt Physical Therapist 3488 East Lake Rd, Suite 302, Palm Harbor, FL 34685 2009-01-09
1225223589 Carolyn Kim Puckett Physical Therapist 800 Tarpon Woods Blvd., Suite F1, Palm Harbor, FL 34685 2007-09-10
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164605846 Roger W. Altman,m.d.pa Dermatology 32615 Us 19 N, Suite 1, Palm Harbor, FL 34684-3176 2007-12-17
1003898099 Roger William Altman Dermatology 32615 Us Highway 19 N, Suite 1, Palm Harbor, FL 34684-3176 2005-11-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144827577 Onspot-fl LLC. Dermatology 16461 Domestic Ave, Fort Myers, FL 33912-6008 2020-10-08
1942855150 International Dermatology Research, Inc. Dermatology 8370 W Flagler St Ste 200, Miami, FL 33144-2038 2019-08-05
1154815546 Forefront Dermatology, S.c. Dermatology 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 32550-7232 2018-06-19
1437517802 Total Vein and Skin LLC Dermatology 10383 Hagen Ranch Road, Ste 100, Boynton Beach, FL 33437-3732 2016-02-01
1861812851 Anand Haryani Dermatology 8745 N Us Highway 1, Sebastian, FL 32958-7524 2014-04-17
1164841797 Michael Montuno Dermatology 38135 Market Sq Ste 108, Zephyrhills, FL 33542-7505 2014-04-10
1861813719 Hillcrest Dermatology and Plastic Surgery P.a. Dermatology 733 Highway 466, Lady Lake, FL 32159-6340 2013-12-19
1922355957 Florida Medical Specialists Dermatology 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 2012-08-09
1619232501 Alliant Dermatology Pa Dermatology 8620 E County Road 466, The Villages, FL 32162-3670 2012-07-07
1114218328 Leavitt Medical Assocaittes of Florida Inc Dermatology 1426 E Bloomindale Ave, Valrico, FL 33596 2011-04-21
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City PALM HARBOR
Zip Code 34685

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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