Larry Mastrogianakis in Jacksonville - Specialist
Larry Mastrogianakis - NPI 1023090800
Larry Mastrogianakis is a Specialist in Jacksonville, Florida. Larry Mastrogianakis practices all healthcare services and medical treatments related to Specialist. The NPI Number for Larry Mastrogianakis is 1023090800. The last update date is 2014-01-28.
Larry Mastrogianakis's current location address is 12428 San Jose Blvd, Jacksonville, Florida. You can contact this provider via phone number 9042609495 and fax number 9042603009. The mailing address for Larry Mastrogianakis is 12428 San Jose Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Mastrogianakis |
|---|---|
| Address | 12428 San Jose Blvd, Jacksonville, Florida |
| Phone Number | 9042609495 |
| Fax Number | 9042603009 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1023090800 |
|---|---|
| Provider Enumeration Date | 2005-11-16 |
| Last Updated Date | 2014-01-28 |
Provider Mailing Address Detail
| Address | 12428 San Jose Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322238616 |
| Phone Number | 9042609495 |
| Fax Number | 9042603009 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME44927 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identification code assigned to Larry Mastrogianakis by the Centers for Medicare & Medicaid Services?
The Larry Mastrogianakis has been issued the NPI (National Provider Identifier) 1023090800, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Larry Mastrogianakis?
The Larry Mastrogianakis is situated at 12428 San Jose Blvd, in the city of Jacksonville, state of FL, with the zip code 322238616.
What is Larry Mastrogianakis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Larry Mastrogianakis is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023090800 to Larry Mastrogianakis?
The Larry Mastrogianakis received its 1023090800 assignment from the Centers for Medicare & Medicaid Services on 2005-11-16.
When was the information regarding Larry Mastrogianakis most recently updated?
The details pertaining to the Larry Mastrogianakis, including its address, specialty, and other relevant information, were last refreshed on 2014-01-28.
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