Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 0051875 | FL |
NPI | 1033172523 |
---|---|
Provider Name | Dr. Ronald P Carzoli JR. |
First Address | Jacksonville, FL 32216-1471 |
Second Address | Jacksonville, FL 32204-4704 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2006 |
Last Update Date | 08/07/2007 |