LARRY VAN THOMAS CRISCO MD
Individual Provider (NPI-1)
Active
Internal Medicine, Interventional Cardiology
Provider Information
- NPI Number
1952395782- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 3901 UNIVERSITY BLVD S SUITE 221, JACKSONVILLE, FL, 322164392
- Phone
- (904) 423-0010
- Fax
- (904) 423-0012
Specialties & Taxonomies
Internal Medicine, Cardiovascular Disease
License: GA #038457
Internal Medicine, Cardiovascular Disease
License: FL #ME115672
Internal Medicine, Interventional Cardiology
License: GA #38457
Nuclear Medicine, Nuclear Cardiology
License: GA #38457
Nuclear Medicine, Nuclear Imaging & Therapy
License: GA #38457
Internal Medicine, Interventional Cardiology
Primary License: FL #ME115672