Individual provider · Type 1 NPI

Emilio P. Supsupin Jr., MD

Neuroradiology Physician · Jacksonville, FL

NPI number 1225069800 Active

Practice location

655 W 8th St
Jacksonville, FL 32209-6511

Call (904) 244-4202 Map

Mailing address

PO Box 44008
Jacksonville, FL 32231-4008

Other practice locations

  • 6411 Fannin St, Houston, TX 77030-1501 · (713) 500-7700

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XN5422 (TX)
Neuroradiology Physician Primary 2085N0700XME152526 (FL)

Neuroradiology Physician: A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

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About NPI 1225069800

Emilio P. Supsupin Jr., MD's National Provider Identifier is 1225069800, issued on Jul 5, 2006. The primary taxonomy on file is Neuroradiology Physician (2085N0700X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 9, 2025.