Active NPI 1710977517 Individual Practitioner Male Practitioner

Dr. Todd Igel , MD

Urology • Jacksonville, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Todd Igel, MD is a certified Urology practicing in Jacksonville, FL. With approximately 44 years of clinical experience since graduating from Creighton University School Of Medicine in 1982, Dr. Igel delivers high-quality medical care to the local community at 4500 SAN PABLO RD S.

Dr. Igel is affiliated with Mayo Clinic Jacksonville and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, ultrasound measurement of bladder capacity after voiding, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000

Associated Practice Facility / Clinic

🏢 Mayo Clinic Jacksonville Facility NPI 1790772317

Medicare Profile & Education

Medical School

Creighton University School Of Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Jacksonville, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +17.6 yrs vs City Avg

City Avg: 26.4 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

64 Specialists

Practicing in Jacksonville, FL (1082 Statewide)

Telehealth Adoption Rate

37.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

92.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Igel (44 Years) 44 Yrs

Jacksonville Specialty Average (26.4 Years) 26.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	248	248	$474.00	$107.35
51798 Ultrasound measurement of bladder capacity after voiding	183	161	$116.00	$10.63
99213 Established patient office or other outpatient visit, typically 15 minutes	180	161	$312.00	$86.83
52000 Diagnostic exam of bladder and urethra using an endoscope	172	156	$1059.00	$225.03
J1580 Injection, garamycin, gentamicin, up to 80 mg	169	152	$51.72	$2.47
51741 Electronic assessment of bladder emptying	130	119	$383.65	$13.31
J0696 Injection, ceftriaxone sodium, per 250 mg	72	18	$9.85	$0.46
55876 Placement of device in prostate for radiation therapy	63	63	$411.57	$53.45
55874 Injection of biodegradable material next to prostate	59	59	$14845.00	$161.26
74420 Imaging of urinary tract	52	42	$587.00	$23.49
55700 Biopsy of prostate gland	43	43	$1098.84	$125.85
52356 Crushing of stone of ureter with insertion of stent using an endoscope	26	26	$5810.63	$416.08
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	19	$2264.98	$143.01
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	22	22	$1470.00	$300.86
55700 Biopsy of prostate gland	19	19	$1125.00	$232.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$473.00	$124.54
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	13	12	$71.00	$14.86
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$5253.00	$722.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	230	230	$456.00	$112.46
51798 Ultrasound measurement of bladder capacity after voiding	192	169	$110.00	$10.39
J1580 Injection, garamycin, gentamicin, up to 80 mg	170	147	$51.04	$2.76
52000 Diagnostic exam of bladder and urethra using an endoscope	155	134	$1004.00	$236.17
99213 Established patient office or other outpatient visit, typically 15 minutes	131	120	$296.00	$89.89
51741 Electronic assessment of bladder emptying	125	115	$365.19	$13.12
J0696 Injection, ceftriaxone sodium, per 250 mg	120	30	$10.11	$0.52
74420 Imaging of urinary tract	52	45	$615.00	$24.39
55874 Injection of biodegradable material next to prostate	47	46	$13967.81	$163.78
55876 Placement of device in prostate for radiation therapy	43	43	$375.53	$51.29
55700 Biopsy of prostate gland	39	39	$1070.00	$240.41
52356 Crushing of stone of ureter with insertion of stent using an endoscope	33	31	$5528.30	$420.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	32	$102.00	$13.93
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	30	30	$1407.00	$312.73
55700 Biopsy of prostate gland	29	29	$1070.00	$131.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	26	$450.00	$127.28
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	21	$2270.14	$149.54
51736 Simple timed assessment of bladder emptying	16	16	$236.00	$13.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$707.00	$166.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	244	244	$456.00	$112.62
51798 Ultrasound measurement of bladder capacity after voiding	166	155	$110.00	$10.23
52000 Diagnostic exam of bladder and urethra using an endoscope	157	140	$1004.00	$242.52
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	137	122	$46.00	$22.34
J3260 Injection, tobramycin sulfate, up to 80 mg	113	104	$39.65	$2.50
51741 Electronic assessment of bladder emptying	108	106	$369.62	$13.11
55874 Injection of biodegradable material next to prostate	78	78	$13955.00	$166.01
55876 Placement of device in prostate for radiation therapy	78	78	$399.94	$51.60
99213 Established patient office or other outpatient visit, typically 15 minutes	76	74	$296.00	$90.58
J1580 Injection, garamycin, gentamicin, up to 80 mg	75	75	$47.50	$2.23
74420 Imaging of urinary tract	70	56	$615.00	$24.80
51720 Instillation of anti-cancer drug into bladder	65	11	$1103.00	$87.52
52332 Insertion of stent in urinary duct (ureter) using an endoscope	34	29	$2128.97	$141.61
55700 Biopsy of prostate gland	29	29	$1070.00	$244.72
52356 Crushing of stone of ureter with insertion of stent using an endoscope	29	28	$5648.95	$436.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$182.00	$55.28
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	23	22	$1407.00	$322.46
55700 Biopsy of prostate gland	21	21	$1019.05	$126.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$707.00	$168.80
51736 Simple timed assessment of bladder emptying	18	18	$229.44	$13.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	14	$102.00	$14.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1580 Injection, garamycin, gentamicin, up to 80 mg	210	189	$39.73	$1.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	195	195	$116.30	$113.46
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	167	148	$22.89	$21.97
52000 Diagnostic exam of bladder and urethra using an endoscope	151	134	$242.55	$233.58
51798 Ultrasound measurement of bladder capacity after voiding	126	117	$11.59	$10.07
55874 Injection of biodegradable material next to prostate	89	89	$287.51	$168.71
55876 Placement of device in prostate for radiation therapy	88	88	$105.30	$51.55
51741 Electronic assessment of bladder emptying	87	86	$20.43	$13.50
99213 Established patient office or other outpatient visit, typically 15 minutes	82	80	$93.68	$91.99
55700 Biopsy of prostate gland	56	56	$250.99	$252.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$189.00	$170.21
74420 Imaging of urinary tract	51	40	$71.15	$25.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	41	$55.76	$56.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	41	$129.70	$130.73
52332 Insertion of stent in urinary duct (ureter) using an endoscope	33	22	$290.53	$141.87
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	33	33	$378.81	$292.69
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	27	$17.23	$14.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	25	$181.61	$182.98
76999 Other ultrasound procedure	20	20	$1333.00	$236.03
55700 Biopsy of prostate gland	19	19	$134.02	$131.49
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	15	15	$485.03	$204.52
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	14	$1448.89	$397.04
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	12	12	$1485.17	$1480.28
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$996.01	$725.01
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	11	11	$685.65	$345.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1580 Injection, garamycin, gentamicin, up to 80 mg	247	208	$43.53	$1.89
52000 Diagnostic exam of bladder and urethra using an endoscope	166	144	$224.18	$208.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	139	139	$120.10	$107.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	102	93	$23.39	$22.92
99213 Established patient office or other outpatient visit, typically 15 minutes	101	94	$81.45	$75.17
74420 Imaging of urinary tract	92	67	$36.31	$25.81
51741 Electronic assessment of bladder emptying	69	65	$25.00	$12.89
51798 Ultrasound measurement of bladder capacity after voiding	69	65	$12.93	$9.91
55700 Biopsy of prostate gland	66	66	$263.31	$250.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	63	$114.23	$108.59
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$80.11	$75.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	52	$18.92	$13.75
55876 Placement of device in prostate for radiation therapy	54	54	$110.38	$52.63
55874 Injection of biodegradable material next to prostate	54	54	$339.63	$172.80
52332 Insertion of stent in urinary duct (ureter) using an endoscope	47	33	$183.69	$140.09
76999 Other ultrasound procedure	46	46	$1294.00	$64.22
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	39	37	$346.14	$283.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$194.91	$158.37
52356 Crushing of stone of ureter with insertion of stent using an endoscope	29	28	$624.35	$427.05
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	28	28	$93.22	$57.29
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	23	20	$216.61	$195.87
55700 Biopsy of prostate gland	22	22	$138.13	$135.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$146.87	$147.44
76872 Ultrasound scan of pelvic region through rectum	17	17	$140.44	$140.10
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	15	15	$768.67	$769.45
99443 Telephone medical discussion with physician, 21-30 minutes	12	12	$109.18	$109.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$45.43	$45.65
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	11	11	$1553.48	$1547.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1580 Injection, garamycin, gentamicin, up to 80 mg	219	191	$47.42	$1.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	196	196	$128.94	$101.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	151	134	$19.73	$15.51
52000 Diagnostic exam of bladder and urethra using an endoscope	138	122	$213.19	$178.29
99213 Established patient office or other outpatient visit, typically 15 minutes	133	116	$81.29	$70.05
51741 Electronic assessment of bladder emptying	99	96	$20.21	$13.02
51798 Ultrasound measurement of bladder capacity after voiding	91	86	$14.71	$11.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	51	$124.94	$101.25
55876 Placement of device in prostate for radiation therapy	43	43	$115.23	$51.75
55874 Injection of biodegradable material next to prostate	41	41	$191.56	$164.52
55700 Biopsy of prostate gland	38	38	$295.82	$232.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$181.49	$155.88
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	31	31	$96.91	$52.73
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	28	28	$838.56	$719.68
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$90.40	$72.17
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	17	$179.11	$147.36
74420 Imaging of urinary tract	20	20	$28.67	$24.63
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	20	20	$2084.79	$1403.69
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$35.86	$30.78
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	11	$489.04	$420.65
55700 Biopsy of prostate gland	12	12	$223.82	$129.25
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$298.30	$257.64
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	11	11	$1055.02	$310.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51741 Electronic assessment of bladder emptying	259	221	$21.15	$13.99
51798 Ultrasound measurement of bladder capacity after voiding	188	159	$17.38	$14.58
J1580 Injection, garamycin, gentamicin, up to 80 mg	184	164	$10.58	$1.37
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	162	147	$23.00	$18.85
99213 Established patient office or other outpatient visit, typically 15 minutes	159	136	$81.41	$68.21
52000 Diagnostic exam of bladder and urethra using an endoscope	151	129	$196.70	$155.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	121	121	$125.22	$100.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	101	$120.38	$100.59
52356 Crushing of stone of ureter with insertion of stent using an endoscope	36	33	$478.31	$414.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$181.21	$156.15
55876 Placement of device in prostate for radiation therapy	31	31	$129.59	$55.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	29	$159.33	$136.88
55700 Biopsy of prostate gland	30	30	$274.52	$236.73
52332 Insertion of stent in urinary duct (ureter) using an endoscope	29	18	$196.54	$141.57
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	29	29	$297.94	$230.97
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	29	29	$974.50	$699.69
55874 Injection of biodegradable material next to prostate	28	28	$364.16	$158.36
76872 Ultrasound scan of pelvic region through rectum	26	26	$104.02	$89.61
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$63.62	$54.87
55706 Needle stereotactic and image-guided biopsy of prostate gland	17	17	$562.52	$364.99
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	17	17	$1694.70	$1403.77
51702 Simple insertion of temporary bladder tube	15	12	$70.33	$60.34
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$81.46	$70.54
51700 Simple bladder irrigation and/or instillation	14	14	$80.89	$69.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51741 Electronic assessment of bladder emptying	278	233	$23.50	$14.30
51798 Ultrasound measurement of bladder capacity after voiding	265	200	$21.71	$17.77
52000 Diagnostic exam of bladder and urethra using an endoscope	195	171	$187.86	$153.44
J1580 Injection, garamycin, gentamicin, up to 80 mg	173	158	$1.60	$1.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	163	151	$29.04	$23.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	134	$131.53	$97.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	130	130	$129.59	$101.31
99213 Established patient office or other outpatient visit, typically 15 minutes	118	103	$82.21	$68.10
76872 Ultrasound scan of pelvic region through rectum	51	47	$116.15	$86.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$190.57	$155.16
55700 Biopsy of prostate gland	44	44	$288.66	$228.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	36	$166.29	$133.21
55876 Placement of device in prostate for radiation therapy	32	32	$113.81	$96.65
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	27	26	$65.53	$56.34
P9612 Catheterization for collection of specimen, single patient, all places of service	26	22	$371.00	$2.94
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	23	$188.40	$140.27
51702 Simple insertion of temporary bladder tube	25	15	$68.13	$59.02
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	25	25	$967.29	$802.83
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	17	$484.26	$419.98
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	17	$374.91	$214.15
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	16	16	$1651.70	$1424.82
51700 Simple bladder irrigation and/or instillation	13	13	$79.52	$68.04
54235 Injection procedure to induce erection	12	11	$97.78	$86.86
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	12	12	$760.58	$328.97
52005 Insertion of tube into ureter using an endoscope through bladder area	11	11	$166.55	$130.75

Medical Specialties & State Licenses

CMS Verified: 2020-08-31

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME65428

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Hospital & Practice Group Affiliations

Mayo Clinic Jacksonville

4500 San Pablo Rd S, Jacksonville, FL 322241865

Phone: 9049532000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Katherine Walsh , PA-C, MPH

Physician Assistant

NPI 1003015280

Physician Assistant (Certified), Master of Public Health

Dr. Jami Kinnucan , MD

Internal Medicine - Gastroenterology

NPI 1003045634

Doctor of Medicine (M.D.)

Dr. Glenn Shi , MD

Orthopaedic Surgery

NPI 1003058660

Doctor of Medicine (M.D.)

Dr. Michelle Tulang , MD

Internal Medicine

NPI 1003073586

Doctor of Medicine (M.D.)

Dr. Ricardo Pagan , MD

Hospitalist

NPI 1003100520

Doctor of Medicine (M.D.)

Crystal Lynn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003148768

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active December 13, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 13, 2017

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍

Updated Business Mailing Address December 13, 2017

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865

👤

Provider Name / Credentials Updated December 13, 2017

Recorded as TODD IGEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2017

Urology (License #ME65428 in FL)

✅

NPI Profile Active January 15, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 15, 2013

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍

Updated Business Mailing Address January 15, 2013

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

👤

Provider Name / Credentials Updated January 15, 2013

Recorded as TODD IGEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2013

Urology (License #ME65428 in FL)

🟢

Initial NPI Registration & Enumeration October 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Todd Igel. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1710977517

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 24, 2005

Last Update: August 31, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.