Lara Jaqueline Fix DO, PA

NPI 1043263924 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1043263924
Gender Female
Enumeration Date 05/19/2006
Last Updated 03/03/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
931 SE OCEAN BLVD
SUITE A
STUART FL, 34994-2425, US
Phone (772) 288-6300
Fax (772) 288-6374
Business Location
PO BOX 2229
STUART FL, 34995-2229, US
Phone (772) 288-6300
Fax (772) 288-6374
Toxanomy
Taxonomy Code 2084N0400X
License State Florida
License Number OS9817
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According to our database, Dr. Lara Jaqueline Fix DO, PA NPI is 1043263924, taxonomy code is 2084N0400X and license number is OS9817, license state is located at Florida. Lara Jaqueline Fix DO, PA physically located at 931 Se Ocean Blvd, Stuart FL, 34994-2425. NPI Number Lara Jaqueline Fix DO, PA has the Individual type.

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1043263924 NPI number is provided on an as is basis without warranty of any kind. 1043263924 is maintained by the National Plan & Provider Enumeration System. The contents of Lara Jaqueline Fix DO, PA are for informational purposes only.