Individual
INNOKENTIY KRUPNOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 702-1276
Mailing address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 702-1276
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
ME175640
FL
Other
Enumeration date
04/01/2019
Last updated
08/21/2025
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