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NPI Code Detail

MEDICARE: DR. YIORGOS ANTONIADIS MD,MPH

MEDICARE: DR. YIORGOS ANTONIADIS MD,MPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramFL

General Provider Information

NPI Number : 1619815693
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YIORGOS ANTONIADIS MD,MPH
Provider Business Mailing Address
First Line : 1150 NW 14TH ST STE 609
Second Line :
City : MIAMI
State : FL
Zip : 33136-2117
Country : US
Telephone Number : 305-243-6732
Fax Number :
Provider Business Practice Location Address
First Line : 1611 NW 12TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33136-1005
Country : US
Telephone Number : 305-355-1122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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