Individual
LARRY MASTROGIANAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12428 SAN JOSE BLVD, STE 3, JACKSONVILLE, FL 32223-8616
(904) 260-9495
(904) 260-3009
Mailing address
12428 SAN JOSE BLVD, STE 3, JACKSONVILLE, FL 32223-8616
(904) 260-9495
(904) 260-3009
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME44927
FL
208000000X
Pediatrics Physician
Primary
65705
GA
208M00000X
Hospitalist Physician
44927
FL
Other
Enumeration date
11/16/2005
Last updated
07/23/2025
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