# GIANCARLO BERTOZZI MD PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1699081356
- **Authorized official:** GIANCARLO BERTOZZI MD (PHYSICIAN/SURGEON/OWNER)
- **Authorized official phone:** (904) 396-2421

## Contact information

- **Practice address:** 3599 UNIVERSITY BLVD S STE 802, JACKSONVILLE, FL 32216-4258
- **Practice address phone:** (904) 396-2421
- **Practice address fax:** (904) 398-1854
- **Mailing address:** 3599 UNIVERSITY BLVD S STE 802, JACKSONVILLE, FL 32216-4258
- **Mailing address phone:** (904) 396-2421
- **Mailing address fax:** (904) 398-1854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | ME 20514 | FL | Yes |

## Other

- **Enumeration date:** 08/19/2010
- **Last updated:** 08/19/2010