Provider Demographics
NPI:1366233215
Name:MAVROGIORGOS, EVANGELIA LORIN (MD)
Entity type:Individual
Prefix:
First Name:EVANGELIA
Middle Name:LORIN
Last Name:MAVROGIORGOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EVANGELIA
Other - Middle Name:LORIN
Other - Last Name:MAVROGIORGOU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1300 HENDRICKS AVE APT 264
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-8695
Mailing Address - Country:US
Mailing Address - Phone:301-222-7423
Mailing Address - Fax:
Practice Address - Street 1:2080 CHILD ST DEPT 5000
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32214-5000
Practice Address - Country:US
Practice Address - Phone:301-222-7423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program