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Contact Information

LARRY D MASTROGIANAKIS, MD PEDIATRIC AND ADOLESCENT MEDICINE
101 E TOWN PL STE 215
SAINT AUGUSTINE, FL32092-2821
 Phone: 904-429-9989
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LARRY D MASTROGIANAKIS, MD PEDIATRIC AND ADOLESCENT MEDICINE

NPI # 1831970433
LBN Legal business name LARRY D MASTROGIANAKIS, MD PEDIATRIC AND ADOLESCENT MEDICINE
Authorized official LARRY MASTROGIANAKIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2023
Last updated 10/10/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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