DR. LARISSA BUCCOLO, M.D.

Family Medicine

Active Individual
NPI: 1598747925

Practice Address

820 PRUDENTIAL DR
STE 713
Jacksonville, FL 32207

Phone: (904) 396-5682

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes ME103556 (FL)

Frequently Asked Questions

NPI 1598747925 is the National Provider Identifier for DR. LARISSA BUCCOLO, M.D., a Family Medicine provider located in Jacksonville, FL. This NPI was enumerated on November 21, 2005.
DR. LARISSA BUCCOLO, M.D. practices at 820 PRUDENTIAL DR, STE 713, Jacksonville, FL 32207.

Quick Facts

NPI
1598747925
Type
Individual
Enumerated
Nov 21, 2005
Last Updated
Nov 5, 2025

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