Giancarlo Bertozzi MD PA

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

ME 20514 Issued in FL

Legal business name

GIANCARLO BERTOZZI MD PA

Practice address

3599 University Blvd S Ste 802
Jacksonville, FL 32216-4258

Phone

(904) 396-2421

Fax

(904) 398-1854

NPI assigned

Aug 19, 2010

Organization subpart

No

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

Authorized official

Name

Giancarlo Bertozzi, MD

Title

Physician/Surgeon/Owner

Phone

(904) 396-2421

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1699081356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S STE 802",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164258",
            "telephone_number": "904-396-2421",
            "fax_number": "904-398-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S STE 802",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164258",
            "telephone_number": "904-396-2421",
            "fax_number": "904-398-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANCARLO BERTOZZI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "BERTOZZI",
        "authorized_official_first_name": "GIANCARLO",
        "authorized_official_title_or_position": "PHYSICIAN/SURGEON/OWNER",
        "authorized_official_telephone_number": "904-396-2421",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME 20514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054722100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jon Christopher Giacoman, MD
• Desiree Giammusso
• Georgia Gianakakos, M.D.
• Marissa Gianakas, ARNP
• Michael Nicholas Gianarakis, M.B.B.S.
• Kelly Giang, PHARMD
• Sara Lauren Gianino, M.S., B.C.B.A.
• Jena Giannone, CCC-SLP
• Fantine Nguyen Giap, MD
• Rodney Keith Gibbons, RCSWI

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.