Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | T0088063 | MD |
Y | 208200000X | Surgeon | MFC1841 | FL |
Y | 208600000X | Surgeon | MFC1841 | FL |
NPI | 1689217234 |
---|---|
Provider Name | Dr. Georgios Vrakas |
First Address | Gainesville, FL 32610 |
Second Address | Baltimore, MD 21201-1504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2019 |
Last Update Date | 11/06/2021 |