Kevin Daniel Crismond in Jacksonville - Internal Medicine
Kevin Daniel Crismond - NPI 1164428447
Kevin Daniel Crismond is a Internal Medicine in Jacksonville, Florida. Kevin Daniel Crismond practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kevin Daniel Crismond is 1164428447. The last update date is 2016-08-04.
Kevin Daniel Crismond's current location address is 8773 Perimeter Park Ct, Jacksonville, Florida. You can contact this provider via phone number 9044933390 and fax number 9044933395. The mailing address for Kevin Daniel Crismond is 8773 Perimeter Park Ct, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Daniel Crismond |
|---|---|
| Address | 8773 Perimeter Park Ct, Jacksonville, Florida |
| Phone Number | 9044933390 |
| Fax Number | 9044933395 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1164428447 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2016-08-04 |
Provider Mailing Address Detail
| Address | 8773 Perimeter Park Ct |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322161165 |
| Phone Number | 9044933390 |
| Fax Number | 9044933395 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | OS7896 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003174436A | GA | GEORGIA MEDICAID | |
| 152348 | FL | WELLCARE | |
| 2610299-00 | FL | MEDICAID - GROUP | |
| 47222 | FL | FLORIDA BLUE | |
| 45681 | FL | MEDICARE - GROUP | |
| 264319 | FL | AVMED | |
| 110220060 | FL | RR MEDICARE | |
| E2746Y | FL | MEDICARE - INDIVIDUAL | |
| 2568802-00 | FL | MEDICAID - INDIVIDUAL |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kevin Daniel Crismond?
The Kevin Daniel Crismond has been issued the NPI (National Provider Identifier) 1164428447 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Kevin Daniel Crismond located?
The Kevin Daniel Crismond is located at 8773 Perimeter Park Ct, Jacksonville, FL 322161165.
What is the area of specialization for Kevin Daniel Crismond, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kevin Daniel Crismond is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164428447 to Kevin Daniel Crismond?
The Centers for Medicare & Medicaid Services assigned the 1164428447 to Kevin Daniel Crismond on 2005-06-22.
When was the information regarding Kevin Daniel Crismond, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kevin Daniel Crismond, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-08-04.