Dr. Kevin D. Crismond D.O.
Hospitalist Physician in Jacksonville, FL(View on Map)
Full Name
Dr. Kevin Daniel Crismond D.O.
NPI Number
1164428447
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/22/2005
Specialties
(Taxonomies)Licenses
State
Florida
License Number
OS7896
Contact
Information
Purpose
Mailing
Location
Address
8773 PERIMETER PARK CT
8773 PERIMETER PARK CT
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32216-1165
32216-1165
Country
US
US
Telephone Number
(904) 493-3390
(904) 493-3390
Identifiers
Identifier
003174436A
152348
2610299-00
47222
45681
264319
110220060
E2746Y
2568802-00
Identifier State
GA
FL
FL
FL
FL
FL
FL
FL
FL
Identifier Issuer
GEORGIA MEDICAID
WELLCARE
MEDICAID - GROUP
FLORIDA BLUE
MEDICARE - GROUP
AVMED
RR MEDICARE
MEDICARE - INDIVIDUAL
MEDICAID - INDIVIDUAL
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/04/2016