Svetlana Durso, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9110345 Issued in FL

Practice address

4866 Big Island Dr Unit 5
Jacksonville, FL 32246-5301

Phone

(904) 652-0652

NPI assigned

Oct 23, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cardiothoracic & Vascular Surgical Associates PA

  • Vascular & Interventional Radiology Physician
  • Jacksonville, FL
  • NPI 1851403125

  Physician Assistant

  NPD (past)
• Ideal Image

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1679878904
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1154832632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CHARLEMAGNE CIR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822906",
            "telephone_number": "770-298-6117",
            "fax_number": "770-298-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4866 BIG ISLAND DR UNIT 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322465301",
            "telephone_number": "904-652-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURSO",
        "first_name": "SVETLANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie H. Durham, MSW
• Emily A Durik, LMHC
• Durr in a Minute Transportation, LLC
• Jerry L. Durr Jr.
• Tracy Nicole Coker Durrett, PHARMD, BCACP
• Ivorique' Clark Duru, DO
• Ravi Venkata Durvasula, MD
• Alex Dusenge Sr.
• Charles V Duss, M.D.
• Micaela Dusseault

• Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.