Mastrogianakis, Larry

Mastrogianakis, Larry is an sole proprietor health care provider with primary practice located at 12428 San Jose Blvd Ste 3, Jacksonville FL 32223-8616. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mastrogianakis, Larry can be contacted via phone (904) 260-9495.

Contact Information

Primary practice address
12428 San Jose Blvd Ste 3 Jacksonville FL 32223-8616
Phone: (904) 260-9495
Fax: (904) 260-3009
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME44927 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 44927 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 65705 Georgia

Profile Details

NPI number 1023090800
LBN Legal business name Mastrogianakis, Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2005
Last updated Jul 23rd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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