Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STEFANO MARTIN DICENSO MD
NPI 1366386963
Internal Medicine in Jacksonville, FL

Q: What is Stefano Dicenso's NPI number?

The NPI number for Stefano Dicenso is 1366386963. It was assigned to this individual provider in the NPPES registry on April 15, 2026.

Q: What is Stefano Dicenso's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Stefano Dicenso was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 15, 2026

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 23, 2026, Apr 21, 2026, Apr 15, 2026 (3 updates tracked since 2026).

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About Stefano Martin Dicenso Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEFANO MARTIN DICENSO MD (NPI 1366386963) is an individual internal medicine provider in Jacksonville, Florida, licensed in Florida (TRN45415) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1366386963

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSTEFANO MARTIN DICENSOCredential: MD

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912

Phone(904) 953-2000

Sole ProprietorNo

Enumeration DateApril 15, 2026

Last NPPES UpdateSeptember 23, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2026

✔ NPI 1366386963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · TRN45415

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE L WALSH PA-C/MPH

Physician Assistant