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Emilio Supsupin, M.D. — NPI 1225069800, Jacksonville, FL | NPI Central

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NPI 1225069800

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Emilio Supsupin, M.D.

NPI 1225069800 · Neuroradiology Physician · Jacksonville, FL

Provider details

NPI number: 1225069800
Entity type: Individual
Primary specialty: Neuroradiology PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: N5422 (TX)

Specialties & taxonomies

Neuroradiology PhysicianPrimary2085N0700XLicense ME152526 (FL)
Allopathic & Osteopathic Physicians
Diagnostic Radiology Physician2085R0202XLicense N5422 (TX)
Allopathic & Osteopathic Physicians

Practice location

655 W 8th St

Jacksonville, FL 32209-6511

Phone: (904) 244-4202

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

Po Box 44008

Jacksonville, FL 32231-4008

Additional practice locations (1)

6411 Fannin St
Houston, TX 77030-1501
Phone: (713) 500-7700
Fax: (713) 500-7639

Registry dates

Enumerated: 2006-07-05
Last updated: 2025-03-09
Certified: 2025-03-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.