Individual
DR. GIANCARLO BERTOZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3599 UNIVERSITY BLVD S, SUITE 802, JACKSONVILLE, FL 32216-4252
(904) 396-2421
(904) 398-1854
Mailing address
3599 UNIVERSITY BLVD S, SUITE 802, JACKSONVILLE, FL 32216-4252
(904) 396-2421
(904) 398-1854
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME0020514
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16933
BLUE CROSS BLUE SHIELD
FL
01
—
207738
AVMED
FL
01
—
310091
HEALTHEASE
—
01
—
3690
UNIVERSAL HEALTHCARE
—
01
—
4009642-002
CIGNA
FL
01
—
4081875
AETNA
—
01
—
P00013539
RAILROAD MEDICARE
—
Enumeration date
07/01/2005
Last updated
02/22/2008
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