Larue And Larue Pediatrics

NPI 1073723821 - Specialist - 174400000X

NPI Details
NPI 1073723821
Enumeration Date 05/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ERIC ERIC
Position OWNER
Phone (863) 293-3909
Fax (863) 293-1909
Practice Location
400 AVENUE K SE
STE 5
WINTER HAVEN FL, 33880-4146, US
Phone (863) 293-3909
Fax (863) 293-1909
Business Location
400 AVENUE K SE
STE 5
WINTER HAVEN FL, 33880-4146, US
Phone (863) 293-3909
Fax (863) 293-1909
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number ME0045287
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According to our database, Larue And Larue Pediatrics NPI is 1073723821, taxonomy code is 174400000X and license number is ME0045287, license state is located at Florida. Larue And Larue Pediatrics physically located at 400 Avenue K Se, Winter Haven FL, 33880-4146. NPI Number 1033115704 has the healthcare provider type.

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1073723821 NPI number is provided on an as is basis without warranty of any kind. 1073723821 is maintained by the National Plan & Provider Enumeration System. The contents of Larue And Larue Pediatrics are for informational purposes only.