IndividualActive
Michael Corso, DO
NPI 1275161788 · Diagnostic Radiology Physician · Jacksonville, FL
Provider details
- NPI number
- 1275161788
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- OS22039 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-6300
Street-level locationGet directions
Mailing address
Po Box 80690
Canton, OH 44708-0690
Additional practice locations (2)
- 5001 Hardy StHattiesburg, MS 39402-1308Phone: (239) 273-9925
- 2600 6th St SwCanton, OH 44710-1702Phone: (330) 363-6288
Registry dates
- Enumerated
- 2020-03-30
- Last updated
- 2025-07-22
- Certified
- 2025-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.