# RICARDO F IZURIETA MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316186075
- **Authorized official:** RICARDO F IZURIETA MD (OWNER)
- **Authorized official phone:** (904) 366-3738

## Contact information

- **Practice address:** 8709 HAMPSHIRE GLEN DR S, JACKSONVILLE, FL 32256-9567
- **Practice address phone:** (904) 366-3738
- **Practice address fax:** (904) 276-2106
- **Mailing address:** 8709 HAMPSHIRE GLEN DR S, JACKSONVILLE, FL 32256-9567
- **Mailing address phone:** (904) 366-3738
- **Mailing address fax:** (904) 276-2106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | ME80907 | FL | Yes |

## Other

- **Enumeration date:** 02/19/2009
- **Last updated:** 02/19/2009