BLAINE S. KRISTO

FERNANDINA BEACH, FL
NPI1124128822
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: FL  ME159017)
Additional Taxonomies208800000X Urology
(Licence: HI  MD-13190)
Enumeration Date2006-09-22
Last Update Date2023-07-06
Business Address
BLAINE S. KRISTO MD
1348 S 18TH ST STE 230
FERNANDINA BEACH, FL 32034-4785
Phone number: 904-277-2003
Mailing Address
BLAINE S. KRISTO MD
PO BOX 746643
ATLANTA, GA 30374-6643
Phone number: 904-202-1032
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