Healthcare Provider Details

I. General information

NPI: 1184245938
Provider Name (Legal Business Name): AARON SCARPA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2020
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

841 PRUDENTIAL DR STE 280
JACKSONVILLE FL
32207-8350
US

IV. Provider business mailing address

841 PRUDENTIAL DR STE 280
JACKSONVILLE FL
32207-8350
US

V. Phone/Fax

Practice location:
  • Phone: 904-697-4300
  • Fax: 904-393-7808
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberME181088
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: