Individual provider · Type 1 NPI

Larry Van Thomas Crisco, MD

Interventional Cardiology Physician · Jacksonville, FL

NPI number 1952395782 Active

Practice location

3901 University Blvd S, Suite 221
Jacksonville, FL 32216-4392

Call (904) 423-0010 Map

Fax (904) 423-0012

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician 207RC0000X038457 (GA)
Cardiovascular Disease Physician 207RC0000XME115672 (FL)
Interventional Cardiology Physician 207RI0011X38457 (GA)
Nuclear Cardiology Physician 207UN0901X38457 (GA)
Nuclear Imaging & Therapy Physician 207UN0902X38457 (GA)
Interventional Cardiology Physician Primary 207RI0011XME115672 (FL)

Interventional Cardiology Physician: 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.

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About NPI 1952395782

Larry Van Thomas Crisco, MD's National Provider Identifier is 1952395782, issued on Sep 8, 2005. The primary taxonomy on file is Interventional Cardiology Physician (207RI0011X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 30, 2019.