Dr. John Dallarosa, M.D.
Internal Medicine, Pulmonary Disease in Jacksonville Beach, FL. Individual provider (NPI-1).
NPI number1669907945
StatusActive
Last updated in NPPESFeb 26, 2025
Details
- NPI
- 1669907945
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Dallarosa
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2017
- Certification date
- Feb 26, 2025
- Last updated
- Feb 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | ME170680 | FL | Yes |
| 207RP1001X | Internal Medicine, Pulmonary Disease | 57.251838 | OH | |
| 208M00000X | Hospitalist | ME170680 | FL | |
| 207R00000X | Internal Medicine | 57.251838 | OH | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1350 13th Ave SJacksonville Beach, FL 32250-3203
Phone 904-627-2900
Mailing address
1539 Mayfair RdJacksonville, FL 32207-2021
Phone 386-334-2944
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