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

Larry Van Thomas Crisco, MD

Individual provider Cardiovascular Disease Physician · NPI 1952395782

Larry Van Thomas Crisco, MD is an Interventional Cardiology in Jacksonville, Florida. Graduated from University of North Carolina at Chapel Hill School of Medicine in 1991, 35 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
35
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
FL, GA
In the registry since
2005
Specialties on file
6
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

3901 University Blvd S Ste 221
Jacksonville, FL 32216-4392
Phone: (904) 423-0010
Fax: (904) 423-0012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence ME115672 (FL)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 038457 (GA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence ME115672 (FL)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 38457 (GA)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence 38457 (GA)
Nuclear Imaging & Therapy Physician Taxonomy 207UN0902X · Licence 38457 (GA)

Record details

NPI number1952395782
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 8, 2005
Last updated in NPPESAugust 30, 2019
Mailing address3901 University Blvd S, Suite 221, Jacksonville, FL 32216-4392

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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