Individual
ALBERTO KRIS CIPOLLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2104 MASSEY AVE BUILDING 2104, JACKSONVILLE, FL 32228
(904) 270-4386
Mailing address
2104 MASSEY AVE BUILDING 104, JACKSONVILLE, FL 32228
(904) 270-4386
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L10A8425
US NAVY
—
Enumeration date
02/25/2020
Last updated
04/10/2025
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