Larissa Sarah Buccolo in Jacksonville - Family Medicine
Larissa Sarah Buccolo - NPI 1598747925
Larissa Sarah Buccolo is a Family Medicine in Jacksonville, Florida. Larissa Sarah Buccolo practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Larissa Sarah Buccolo is 1598747925. The last update date is 2016-05-28.
Larissa Sarah Buccolo's current location address is 820 Prudential Dr, Jacksonville, Florida. You can contact this provider via phone number 9043965682 and fax number 9043460864. The mailing address for Larissa Sarah Buccolo is 820 Prudential Dr, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larissa Sarah Buccolo |
|---|---|
| Address | 820 Prudential Dr, Jacksonville, Florida |
| Phone Number | 9043965682 |
| Fax Number | 9043460864 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1598747925 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2016-05-28 |
Provider Mailing Address Detail
| Address | 820 Prudential Dr |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322078210 |
| Phone Number | 9043965682 |
| Fax Number | 9043460864 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME 103556 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identification code assigned to Larissa Sarah Buccolo by the Centers for Medicare & Medicaid Services?
The Larissa Sarah Buccolo has been issued the NPI (National Provider Identifier) 1598747925, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Larissa Sarah Buccolo is geographically located?
The Larissa Sarah Buccolo is physically situated at the following location: 820 Prudential Dr, Jacksonville, FL, 322078210.
What is the Larissa Sarah Buccolo's specialty and taxonomy code?
The Larissa Sarah Buccolo's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did the Larissa Sarah Buccolo receive its 1598747925?
The Larissa Sarah Buccolo was issued its 1598747925 on 2005-11-21, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Larissa Sarah Buccolo most recently updated or revised?
The details related to Larissa Sarah Buccolo, including its address, specialty, and other relevant information, were last updated or revised on 2016-05-28.