Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | ME0046965 | FL |
NPI | 1023089182 |
---|---|
Provider Name | John Paul Kartsonis |
First Address | Jacksonville, FL 32256-9110 |
Second Address | Jacksonville, FL 32256-9110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 15/12/2020 |