Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Larry Mastrogianakis, MD

Individual provider Specialist · NPI 1023090800

Larry Mastrogianakis, MD is a Specialist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida and Georgia.

Licensed in
FL, GA
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12428 San Jose Blvd Ste 3
Jacksonville, FL 32223-8616
Phone: (904) 260-9495
Fax: (904) 260-3009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 65705 (GA)
Specialist Taxonomy 174400000X · Licence ME44927 (FL)
Hospitalist Physician Taxonomy 208M00000X · Licence 44927 (FL)

Record details

NPI number1023090800
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 16, 2005
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing address12428 San Jose Blvd, Ste 3, Jacksonville, FL 32223-8616

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