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Export Provider Record NPI 1073622585
Kevin LandolfoMD
Active
NPI Number1073622585
NPI TypeNPI-1 Individual
SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Details
NPI1073622585
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-08-29
Last Updated2026-03-24
Mailing Address4500 San Pablo Rd S
Jacksonville, FL 32224-1865
United States
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Primary Practice Address4500 San Pablo Rd S
Jacksonville, FL 32224-1865
United States
Phone: (904) 953-2000
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No208G00000X – Thoracic Surgery (Cardiothoracic Vascular Surgery)MN51392
Yes208G00000X – Thoracic Surgery (Cardiothoracic Vascular Surgery)FLME102689
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About NPI 1073622585

Kevin Landolfo MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1073622585. The primary specialty listed is Thoracic Surgery (Cardiothoracic Vascular Surgery). The provider is located in Jacksonville, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1073622585?

NPI 1073622585 belongs to Kevin Landolfo MD, a Thoracic Surgery (Cardiothoracic Vascular Surgery) in Jacksonville, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1073622585 active?

The current status of NPI 1073622585 in the NPPES registry is Active. The record was last updated on 2026-03-24.

What specialty is NPI 1073622585?

NPI 1073622585 is classified under the taxonomy Thoracic Surgery (Cardiothoracic Vascular Surgery). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1073622585?

You can verify NPI 1073622585 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1073622585?

The primary practice address on file for NPI 1073622585 is 4500 San Pablo Rd S, Jacksonville, FL 32224-1865. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1073622585 issued?

NPI 1073622585 was first issued (enumerated) on 2006-08-29. The NPPES record was last updated on 2026-03-24.

Practice Location Map

Kevin Landolfo is located at 4500 San Pablo Rd S, Jacksonville, FL. Use the map below to find directions or verify the practice location.

📍 4500 San Pablo Rd S, Jacksonville, FL 32224-1865  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Kevin Landolfo. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1073622585. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Thoracic Surgery (Cardiothoracic Vascular Surgery)51392MN
Thoracic Surgery (Cardiothoracic Vascular Surgery)ME102689FL
Data Verified from CMS NPPES Last synced: 2026-06-19 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162