# RICARDO J. LARRAIN M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225201841
- **Authorized official:** DR. RICARDO J LARRAIN M.D. (OWNER)
- **Authorized official phone:** (386) 736-1404

## Contact information

- **Practice address:** 800 W PLYMOUTH AVE, DELAND, FL 32720-3215
- **Practice address phone:** (386) 736-1404
- **Practice address fax:** (386) 736-1423
- **Mailing address:** 800 W PLYMOUTH AVE, DELAND, FL 32720-3215
- **Mailing address phone:** (386) 736-1404
- **Mailing address fax:** (386) 736-1423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | ME0062589 | FL | Yes |

## Other

- **Enumeration date:** 04/03/2008
- **Last updated:** 04/03/2008