Provider Demographics
NPI:1356503007
Name:OSVALDO CONTARINI MD PA
Entity Type:Organization
Organization Name:OSVALDO CONTARINI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OSVALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CONTARINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:904-737-3150
Mailing Address - Street 1:3636 UNIVERSITY BLVD S
Mailing Address - Street 2:BLDG B
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-4250
Mailing Address - Country:US
Mailing Address - Phone:904-737-3150
Mailing Address - Fax:904-399-1314
Practice Address - Street 1:3636 UNIVERSITY BLVD S
Practice Address - Street 2:BLDG B
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4250
Practice Address - Country:US
Practice Address - Phone:904-737-3150
Practice Address - Fax:904-399-1314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME27940208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty