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Larissa Buccolo, M.D
NPI 1598747925 · on the registry since 2005
Practice
- Address
- 820 Prudential Dr
Ste 713
Jacksonville, FL 32207 - Phone
- (904) 396-5682
- Fax
- (904) 346-0864
- Organisation at this address
- Christian L Koppel Md Pa
Baptist Primary Care Inc
Baptist Cardiology, Inc.
Baptist Primary Care Inc.
Southern Heart Group, P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 389
Additional practice sites
- 841 Prudential Dr Ste 180, Jacksonville, FL
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida