Individual provider · Type 1 NPI

Blaine S. Kristo, MD

Urology Physician · Fernandina Beach, FL

NPI number 1124128822 Active

Practice location

1348 S 18th St Ste 230
Fernandina Beach, FL 32034-4785

Fax (904) 376-3271

Mailing address

PO Box 746643
Atlanta, GA 30374-6643

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XME159017 (FL)
Urology Physician 208800000XMD-13190 (HI)

Urology Physician: 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.

2 other providers at this address

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About NPI 1124128822

Blaine S. Kristo, MD's National Provider Identifier is 1124128822, issued on Sep 22, 2006. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Fernandina Beach, FL. The record was last updated on Nov 4, 2025.