National Provider Identifier Database

LARRY V CRISCO, MD – NPI #1952395782
Interventional Cardiology

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.


Contact Information

LARRY V CRISCO, MD
3901 UNIVERSITY BLVD S
SUITE 221
JACKSONVILLE, FL32216-4392
Phone: 904-423-0010
Fax: 904-423-0012
Website:
Specialty Taxonomy Code
* Interventional Cardiology 207RI0011X
Cardiovascular Disease 207RC0000X
Nuclear Cardiology 207UN0901X
Nuclear Imaging & Therapy 207UN0902X

* Indicates primary specialty

NPI Profile & details for LARRY V CRISCO

NPI Number 1952395782
Credentials MD
Entity Individual
Enumeration date 09/08/2005
Last updated 08/30/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME115672
  • GA License #: 038457
  • GA License #: 38457
  • GA Medicaid: 000777686G
  • Other: 1952395782 NPI
  • GA Other: 58-1624987 TAX ID#
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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