| Dr Mina Ekladios, MD | |
|
10710 State Road 54 Ste 108, Trinity, FL 34655-2263 | |
| (727) 376-4040 | |
| (727) 376-8824 |
| Full Name | Dr Mina Ekladios |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Emergency Medicine |
| Location | 10710 State Road 54 Ste 108, Trinity, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205281409 | NPI | - | NPPES |
| 119275800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME163708 (Florida) | Secondary |
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | ME163708 (Florida) | Primary |
| Entity Name | Trustees Of Columbia University In The City Of New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508266347 PECOS PAC ID: 8527972546 Enrollment ID: O20151201002613 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mina Ekladios, MD 900 S Pine Island Rd Ste 800, Plantation, FL 33324-3923 Ph: (727) 376-4040 | Dr Mina Ekladios, MD 10710 State Road 54 Ste 108, Trinity, FL 34655-2263 Ph: (727) 376-4040 |
Taylor Alberdi Bradley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10537 State Road 54, Trinity, FL 34655 Phone: 727-376-8404 | |
Dr. Ramu Srinivas Jonnalagadda, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10710 Fl-54, Trinity, FL 34655 Phone: 727-376-4040 | |
Dr. Christopher Smith, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2137 Little Rd, Trinity, FL 34655 Phone: 727-372-6760 Fax: 727-372-6808 | |
Dr. Michael Couzens Jordan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2137 Little Rd, Trinity, FL 34655 Phone: 727-372-6760 Fax: 727-372-6808 | |
Graciela F Egli, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10710 State Road 54 Ste 108, Trinity, FL 34655 Phone: 727-376-4040 Fax: 727-376-8824 | |
Cary A Aungst, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2137 Little Rd, Trinity, FL 34655 Phone: 727-372-6760 |