Larry D Mastrogianakis, MD Pediatric and Adolescent Medicine

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

LARRY D MASTROGIANAKIS, MD PEDIATRIC AND ADOLESCENT MEDICINE

Practice address

101 E Town PL Ste 215
St Augustine, FL 32092-2821

Phone

(904) 429-9989

NPI assigned

Oct 10, 2023

Organization subpart

No

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

Authorized official

Name

Larry D Mastrogianakis, MDNPI 1023090800

Title

Owner

Phone

(904) 429-9989

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry Mastrogianakis, MD

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1023090800
  NPD Authorized official

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1831970433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E TOWN PL STE 215",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320922821",
            "telephone_number": "904-429-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E TOWN PL STE 215",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320922821",
            "telephone_number": "904-429-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY D MASTROGIANAKIS, MD PEDIATRIC AND ADOLESCENT MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "MASTROGIANAKIS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-429-9989",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Lantz, APRN
• Anthony Lanzillotti, P.T.
• Ginger Merri Lape
• Jennifer F. Laporte, L.C.S.W.
• Juan Larroude, MD
• Joshua Lasoff, DPT
• Eileen Lassiter
• Launch Communication Therapy Group, LLC
• Laurence M Matthews MD LLC
• Nicole Lauver

• Pediatric Adolescent Medicine Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Pediatric Adolescent Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.