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Larry Van Thomas Crisco, MD
Interventional Cardiology Physician in Jacksonville, Florida
NPI 1952395782

Larry Van Thomas Crisco is a Interventional Cardiology Physician based in Jacksonville, FL and is specialized in Interventional Cardiology. Larry Van Thomas Crisco practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Larry Van Thomas Crisco is 1952395782 and holds a License No. 038457 (Florida).

The current practice location address for Larry Van Thomas Crisco is 3901 University Blvd S, Jacksonville, FL and can be reached out via phone at 904-423-0010 and via fax at 904-423-0012.

Location: 3901 University Blvd S, Jacksonville, FL, 32216-4392
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Provider Profile Details
NPI Number
1952395782
Provider Name
Larry Van Thomas Crisco
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3901 University Blvd S, Jacksonville, FL, 32216-4392
Phone Number
904-423-0010
Fax Number
904-423-0012
Provider Enumeration Date
09/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000777686G 05 GA
58-1624987 01 GA TAX ID#
1952395782 01 NPI
institution
Provider Business Practice Location Address Details
Address
3901 University Blvd S
City
State
Zip
32216-4392
Phone Number
904-423-0010
Fax Number
904-423-0012
person
Provider Business Mailing Address Details
Address
3901 University Blvd S
City
State
Zip
32216-4392
Phone Number
904-423-0010
Fax Number
904-423-0012
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
38457 (Georgia)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
License No.
38457 (Georgia)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Cardiology
Taxonomy
License No.
ME115672 (Florida)
Definition
A nuclear medicine physician who specializes in nuclear cardiology.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Imaging & Therapy
Taxonomy
License No.
038457 (Georgia)
Definition
A nuclear medicine physician who specializes in nuclear imaging and therapy.
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