EVANGELIA FOTOPOULOS


Address: 2222 S Harbor City Blvd, Suite 430, Melbourne, FL 32901-5594
Phone: 3215411777

EVANGELIA FOTOPOULOS (NPI# 1790014942) 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) 1790014942
Entity Type Individual
Full Name EVANGELIA FOTOPOULOS
Credential M.D.
Practice Address 2222 S Harbor City Blvd
Suite 430
Melbourne
FL 32901-5594
Mailing Address 2222 S Harbor City Blvd
Ste 440
Melbourne
FL 32901-5591
Practice Telephone 3215411777
Practice Fax Number 3217255504
Mailing Telephone 3215411744
Mailing Fax Number 3217254183
Enumeration Date 2009-12-17
Last Update Date 2017-01-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine ME112559 FL Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine L.3075R AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 005580100 05

Office Location

Street Address 2222 S HARBOR CITY BLVD
SUITE 430
City MELBOURNE
State FL
Zip Code 32901-5594

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639163975 Neuroskeletal Imaging LLC Radiology 2222 S Harbor City Blvd, Melbourne, FL 32901-5591 2005-09-01
1164897575 Anesthesiology Consultants of Melbourne, Pa Anesthesiology 2222 S Harbor City Blvd, #610, Melbourne, FL 32901-5594 2015-12-10
1346662103 Casey W Langel Physician Assistant 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5594 2014-01-14
1528406402 Jessica Herraiz Nurse Practitioner 2222 S Harbor City Blvd, Ste 610, Melbourne, FL 32901-5591 2013-06-12
1285988279 Amanda Ann Folkers Physician Assistant 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5594 2012-10-30
1295013415 Brevard Hma Hme, LLC Durable Medical Equipment & Medical Supplies 2222 S Harbor City Blvd, Suite 630, Melbourne, FL 32901-5594 2011-07-22
1003100504 Brevard Orthopaedic Spine & Pain Clinic Inc Chiropractor 2222 S Harbor City Blvd, Suite 530, Melbourne, FL 32901-5594 2011-06-02
1164716676 Brevard Orthopaedics Spine & Pain Clinic, Inc Orthopaedic Surgery 2222 S Harbor City Blvd, Suite 510, Melbourne, FL 32901-5594 2011-06-01
1518259050 Osler Hma Medical Group LLC Chiropractor 2222 S Harbor City Blvd, Suite 420, Melbourne, FL 32901-5594 2011-05-03
1528393857 Aliyah Hamirani Physical Therapist 2222 S Harbor City Blvd, Suite 530, Melbourne, FL 32901-5527 2009-10-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467062943 George Pappas Anesthesiologist Assistant 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 2020-08-09
1124676820 Abbi Dell Lee Behavioral Analyst 3251 Engineering St, Melbourne, FL 32901 2019-08-27
1750856878 Jeffrey Michael Cavanagh Behavior Technician 3251 Engineering Street, Melbourne, FL 32901 2018-10-04
1740766021 Amanda Miller Behavior Technician 1885 W Hibiscus Blvd, Melbourne, FL 32901 2018-07-19
1396244406 Dragen II LLC Urology 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 2018-02-03
1225550692 Cabrit Psychotherapy Services LLC Marriage & Family Therapist 100 Rialto Place, Suite 700, Melbourne, FL 32901 2017-07-07
1487188058 Project Response, Inc. Clinic/Center 747 S. Apollo Boulevard, Melbourne, FL 32901 2017-04-20
1184174575 Paulette Swanson Physical Therapist 611 East Sheridan Rd, Melbourne, FL 32901 2016-10-10
1841747839 Nicholas Wilson Social Worker 3661 S. Babcock St., Melbourne, FL 32901 2016-09-07
1467804278 Nickolas Hetherington Occupational Therapist 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 2016-07-05
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558970277 Kimberly Gayle Ross Family Medicine 1919 Slone Blvd, Melbourne, FL 32935-4756 2020-07-28
1245706423 Vargas Medical Services LLC Family Medicine 606 Sheridan Rd, Melbourne, FL 32901-3227 2018-10-16
1013467554 First Locums Inc Family Medicine 3248 Cortona Dr, Melbourne, FL 32940-8613 2016-10-07
1922327774 Angela Matthews Family Medicine 2694 Judge Fran Jamieson Way, Overflow Parking Lot, Melbourne, FL 32940 2010-05-19
1013197201 Lauren Romeo Md Pa Family Medicine 1698 W Hibiscus Blvd Ste B, Melbourne, FL 32901-2639 2007-11-06
1023220605 Marta Cyzio Family Medicine 1368 Tipperary Dr, Melbourne, FL 32940-6030 2007-05-04
1578787941 Donna J. Badolato, Md, Pa Family Medicine 8061 Spyglass Hill Rd., Suite 102, Melbourne, FL 32940 2007-04-13
1801914858 Marilyn C. Moss, M.d. Family Medicine 3210 N Wickham Rd, Suite 1, Melbourne, FL 32935-2300 2007-03-27
1639217870 Kenneth Robert Mcelynn Family Medicine 7925 N Wickham Rd Ste B, Melbourne, FL 32940-8211 2007-02-01
1760568935 Kristine R Everding Family Medicine 2002 Pennwood Dr, Melbourne, FL 32901-5934 2006-10-31
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Competitor

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City MELBOURNE
Zip Code 32901

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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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