Individual
BASAR SAREYYUPOGLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35.125173
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
43483
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME138770
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113379
—
OH
Enumeration date
04/25/2007
Last updated
09/01/2020
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