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NPI Code Detail

MEDICARE: DR. MINA EKLADIOS MD

MEDICARE: DR. MINA EKLADIOS MD
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
1208000000XPediatrics PhysicianME163708FL
22080P0204XPediatric Emergency Medicine (Pediatrics) PhysicianME163708FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205281409
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MINA EKLADIOS MD
Provider Business Mailing Address
First Line : 900 S PINE ISLAND RD STE 800
Second Line :
City : PLANTATION
State : FL
Zip : 33324-3923
Country : US
Telephone Number : 727-376-4040
Fax Number : 727-376-8824
Provider Business Practice Location Address
First Line : 10710 STATE ROAD 54 STE 108
Second Line :
City : TRINITY
State : FL
Zip : 34655-2263
Country : US
Telephone Number : 727-376-4040
Fax Number : 727-376-8824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2016
Last Update Date : 04/03/2025

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Directions to “ DR. MINA EKLADIOS MD” Practice Location

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