Whalio Doctors

NPI 1003807181

Leo Czervionke, MD

Practitioner Diagnostic Radiology Physician Jacksonville, FL

Practice location

Address
4500 San Pablo Rd S, Jacksonville, FL 32224-1865
Phone
(904) 953-2000

Registered specialties

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence ME57587 (FL)

Registry record

NPI
1003807181
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Oct 2005
Record last updated
13 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.