Dimitrios P Agaliotis (NPI# 1790764272, PAC ID# 8022032432) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MEDICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1790764272 |
| PAC ID by PECOS | 8022032432 |
| Professional Enrollment ID | I20060124000511 |
| Full Name | Dimitrios P Agaliotis |
| Organization Legal Name | SHANDS JACKSONVILLE MEDICAL CENTER INC |
| Address |
1250 S 18th St Baptist Medical Center Nassau Fernandina Beach FL 32034-1902 |
| Phone Number | 9042443477 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1981 |
| Primary Specialty | MEDICAL ONCOLOGY |
| Secondary Specialties | HEMATOLOGY |
| Group Practice PAC ID | 2365456258 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100001 | SHANDS JACKSONVILLE |
| 100140 | BAPTIST MEDICAL CENTER NASSAU |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100179 | MEMORIAL HOSPITAL JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 | 9042443477 | SHANDS JACKSONVILLE MEDICAL CENTER INC |
| 1699 S 14th St, 2 Uf Health Oncology Fernandina, Fernandina Beach, FL 32034-1964 | 9044271370 | SHANDS JACKSONVILLE MEDICAL CENTER INC |
| 1 Shircliff Way, St. Vincents Medical Center Riversi, Jacksonville, FL 32204-4748 | 9042443477 | SHANDS JACKSONVILLE MEDICAL CENTER INC |
| 14550 Old Saint Augustine Rd, Jacksonville, FL 32258-2460 | 9042443477 | SHANDS JACKSONVILLE MEDICAL CENTER INC |
| 3625 University Blvd S, Memorial Hospital Jacksonville, Jacksonville, FL 32216-4207 | 9042443477 | SHANDS JACKSONVILLE MEDICAL CENTER INC |
| 4201 Belford Rd, Jacksonville, FL 32216-1431 | 9042443477 | SHANDS JACKSONVILLE MEDICAL CENTER INC |
| 7751 Baymeadows Rd E, 205 Uf Health Oncology Baymeadows, Jacksonville, FL 32256-5836 | 9044271050 | SHANDS JACKSONVILLE MEDICAL CENTER INC |
| 800 Prudential Dr, Jacksonville, FL 32207-8202 | 9042443477 | SHANDS JACKSONVILLE MEDICAL CENTER INC |
| Organization Legal Name | SHANDS JACKSONVILLE MEDICAL CENTER INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yan G Makeyev | Hematology/oncology | Shands Jacksonville Medical Center Inc | 1670 St Vincents Way, St. Vincents Medical Center Clay Co, Middleburg, FL 32068-8447 |
| Troy Guthrie | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Joseph Mignone | Medical Oncology | Shands Jacksonville Medical Center Inc | 1699 S 14th St, 2 Uf Health Oncology Fernandina, Fernandina Beach, FL 32034-1964 |
| Jeffrey M Harris | Medical Oncology | Shands Jacksonville Medical Center Inc | 1699 S 14th St, 2 Uf Health Oncology Fernandina, Fernandina Beach, FL 32034-1964 |
| Mohammad Asif Khan | Medical Oncology | Shands Jacksonville Medical Center Inc | 1 Shircliff Way, St. Vincents Medical Center Riversi, Jacksonville, FL 32204-4748 |
| Mathew Luke | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Zhen Hou | Internal Medicine | Shands Jacksonville Medical Center Inc | 1 Shircliff Way, St. Vincents Medical Center Riversi, Jacksonville, FL 32204-4748 |
| Carlos M Castillo | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Peter W Komatz | Nurse Practitioner | Shands Jacksonville Medical Center Inc | 7751 Baymeadows Rd E, 205 Uf Health Oncology Baymeadows, Jacksonville, FL 32256-5836 |
| Street Address |
1250 S 18TH ST BAPTIST MEDICAL CENTER NASSAU |
| City | FERNANDINA BEACH |
| State | FL |
| Zip | 32034-1902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Benjamin Brenes | Family Medicine | Emergency Physicians Inc | 1250 S 18th St, Fernandina Beach, FL 32034-1902 |
| Lucia L Owens | Certified Registered Nurse Anesthetist (crna) | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Troy Guthrie | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Walter L Shelton Iii | Certified Registered Nurse Anesthetist (crna) | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Abigail Lee Mazingo | Nurse Practitioner | Amelia Internal Medicine Pa | 1250 S 18th St, Suite 202, Fernandina Bch, FL 32034-4729 |
| Kathleen Mary Mcchristian | Certified Registered Nurse Anesthetist (crna) | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Mary Rebecca Herbert | Nurse Practitioner | Amelia Internal Medicine Pa | 1250 S 18th St, Suite 202, Fernandina Bch, FL 32034-4729 |
| Todd L Murphy | Anesthesiology | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Alana N Smith | Physician Assistant | Amelia Internal Medicine Pa | 1250 S 18th St, Suite 202, Fernandina Bch, FL 32034-4729 |
| Karilyn A Holden | Certified Registered Nurse Anesthetist (crna) | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly C Durham | Chiropractic | Beckerton Chiropractic Pllc | 464073 E State Rd, 200 Suite 4, Yulee, FL 32034 |
| Patricia Lynne Shelly-lohman | Qualified Audiologist | 1411 S 14 St, Suite F, Fernandina Beach, FL 32034 | |
| Elizabeth Harrelson-lee | Chiropractic | Lee Chiropractic Clinic Inc | 1875 A-south 14th St, Fernandina Beach, FL 32034 |
| Thomas P Beckerton | Chiropractic | Beckerton Chiropractic Pllc | 464073 E State Rd, 200 Suite 4, Yulee, FL 32034 |
| Joseph M Lee | Chiropractic | Lee Chiropractic Clinic Inc | 1875 A-south 14th St, Fernandina Beach, FL 32034 |
| Marcelo C Darabos | Emergency Medicine | Emergency Physicians Inc | 1250 S 18th St, Fernandina Beach, FL 32034-1902 |
| Mathew Luke | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Carlos M Castillo | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Emeka J Okoli | Family Medicine | Emergency Physicians Inc | 1250 S 18th St, Fernandina Beach, FL 32034-1902 |
| Gil Asuncion Cu | Internal Medicine | 1560 Park Lane, Fernandina Beach, FL 32034-1940 | |
| Find all physicians in zip 32034 | |||
| City | FERNANDINA BEACH |
| Zip Code | 32034 |
| Specialty | MEDICAL ONCOLOGY |
| City + Specialty | FERNANDINA BEACH + MEDICAL ONCOLOGY |
Please comment or provide details below to improve the information on Dimitrios P Agaliotis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.