Blaine S. Kristo in Fernandina Beach - Urology
Blaine S. Kristo - NPI 1124128822
Blaine S. Kristo is a Urology in Fernandina Beach, Florida. Blaine S. Kristo practices all healthcare services and medical treatments related to Urology. The NPI Number for Blaine S. Kristo is 1124128822. The last update date is 2023-07-06.
Blaine S. Kristo's current location address is 1348 S 18th St Ste 230, Fernandina Beach, Florida. You can contact this provider via phone number 9042772003 and fax number 9042772006. The mailing address for Blaine S. Kristo is 1348 S 18th St Ste 230, Fernandina Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blaine S. Kristo |
|---|---|
| Address | 1348 S 18th St Ste 230, Fernandina Beach, Florida |
| Phone Number | 9042772003 |
| Fax Number | 9042772006 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124128822 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2023-07-06 |
Provider Mailing Address Detail
| Address | 1348 S 18th St Ste 230 |
|---|---|
| City | Fernandina Beach |
| State | Florida (FL) |
| Post Code | 320344785 |
| Phone Number | 9042772003 |
| Fax Number | 9042772006 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | MD-13190 |
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Definition: 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 acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 253955 | HI | HMSA BILLING NUMBER | |
| 572702-01 | HI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Blaine S. Kristo by the Centers for Medicare & Medicaid Services?
The Blaine S. Kristo has been issued the NPI (National Provider Identifier) 1124128822, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Blaine S. Kristo is physically located?
The Blaine S. Kristo is situated at the following address: 1348 S 18Th St Ste 230, Fernandina Beach, FL 320344785.
What is Blaine S. Kristo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Blaine S. Kristo is Urology, and the corresponding taxonomy classification code for this specialized field is 208800000X.
On what date did the Blaine S. Kristo receive its 1124128822 assignment from the Centers for Medicare & Medicaid Services?
The Blaine S. Kristo was assigned its 1124128822 by the Centers for Medicare & Medicaid Services on 2006-09-22.
When was the information pertaining to Blaine S. Kristo most recently updated or revised?
The details related to Blaine S. Kristo, including its address, specialty, and other relevant information, were last updated or revised on 2023-07-06.
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