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Blaine S. Kristo, MD
Urology Physician in Fernandina Beach, Florida
NPI 1124128822

Blaine S. Kristo is a Urology Physician based in Atlanta, FL. Blaine S. Kristo practices in Fernandina Beach, FL and has the professional credentials of MD. The NPI Number for Blaine S. Kristo is 1124128822 and holds a License No. MD-13190 (Florida).

The current practice location address for Blaine S. Kristo is 1348 S 18Th St Ste 230, Fernandina Beach, FL and can be reached out via phone at 904-277-2003 and via fax at 904-277-2006.

Location: 1348 S 18Th St Ste 230, Fernandina Beach, FL, 30374-6643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124128822
Provider Name
Blaine S. Kristo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1348 S 18Th St Ste 230, Fernandina Beach, FL, 30374-6643
Phone Number
904-277-2003
Fax Number
904-277-2006
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000253955 01 HI HMSA BILLING NUMBER
572702-01 05 HI
institution
Provider Business Practice Location Address Details
Address
1348 S 18Th St Ste 230
City
Fernandina Beach
State
Florida
Zip
32034-4785
Phone Number
904-277-2003
Fax Number
904-277-2006
person
Provider Business Mailing Address Details
Address
1348 S 18Th St Ste 230
City
Fernandina Beach
State
Florida
Zip
32034-4785
Phone Number
904-277-2003
Fax Number
904-277-2006
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
MD-13190 (Hawaii)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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