Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Larissa Sarah Buccolo, MD

Individual provider Family Medicine Physician · NPI 1598747925

Dr. Larissa Sarah Buccolo, MD is a Family Practice in Jacksonville, Florida. Graduated from Emory University School of Medicine in 2002, 24 years ago. Practices with Baptist Health Clinic Inc, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
24
Trained at
Emory University School of Medicine
Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

820 Prudential Dr Ste 713
Jacksonville, FL 32207-8210
Phone: (904) 396-5682
Fax: (904) 346-0864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 841 Prudential Dr Ste 180, Jacksonville, FL 32207-8350 — (904) 202-3300

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME103556 (FL)

Record details

NPI number1598747925
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 21, 2005
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Baptist Health Clinic Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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