Central Florida Pathology Group,P.a.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

CENTRAL FLORIDA PATHOLOGY GROUP,P.A.

Practice address

1000 Waterman Way
Tavares, FL 32778-5266

Phone

(352) 253-3374

Fax

(352) 589-4140

NPI assigned

Jun 12, 2006

Last updated

Oct 27, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elefterios T Nikolaidis, M.D.NPI 1932143708

Title

Director

Phone

(352) 343-3434

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chris Kechriotis, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tavares, FL
  • NPI 1891721627
  Medicare reassignment Care Compare group NPD
• Deborah L Zeagler, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tavares, FL
  • NPI 1417991746
  Medicare reassignment Care Compare group NPD
• Elefterios T Nikolaidis, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tavares, FL
  • NPI 1932143708
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1609818954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 S BAY ST",
            "address_2": "SUITE C",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266587",
            "telephone_number": "352-343-3434",
            "fax_number": "352-589-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WATERMAN WAY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785266",
            "telephone_number": "352-253-3374",
            "fax_number": "352-589-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA PATHOLOGY GROUP,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "NIKOLAIDIS",
        "authorized_official_first_name": "ELEFTERIOS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-343-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371153600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Centered Mind Health LLC
• Central Florida Cardiology & Vascular Center LLC
• Central Florida Cardiovascular Center PA
• Central Florida Cardiovascular Imaging Center, LLC
• Central Florida Cardiovascular Imaging Center, LLC
• Central Florida Premier Eye Associates (Lake Eye Associates)
• Central Florida Premier Eye Associates
• Central Florida Premier Eye Associates (Lake Eye Associates)
• Central Florida Urology Specialists
• CFCF, Inc (Care First Family Practice)

• Anatomic Pathology & Clinical Pathology Physician in Tavares, FL
• Providers in Tavares, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.