Supsupin, Emilio P

Supsupin, Emilio P is an individual health care provider with primary practice located at 655 W 8Th St , Jacksonville FL 32209-6511. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Supsupin, Emilio P can be contacted via phone (904) 244-4202.

Contact Information

Primary practice address
655 W 8Th St Jacksonville FL 32209-6511
Phone: (904) 244-4202
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X N5422 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X N5422 Texas
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME152526 Florida

Profile Details

NPI number 1225069800
LBN Legal business name Supsupin, Emilio P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 20th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225069800 NPPES
Texas MEDICAID 182077101
Texas Other 8S7138
Texas Other 182077102

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