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Organization
LARRY E. RENEKER, D.O., PA
Active
Organization
LARRY E. RENEKER, D.O., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY EARL RENEKER D.O. (PHYSICIAN)
(386) 586-0035
Entity
Organization
Contact information
Practice address
61 MEMORIAL MEDICAL PKWY, STE: 2804, PALM COAST, FL 32164-5981
(386) 586-0035
(386) 586-0490
Mailing address
PO BOX 37, FLAGLER BEACH, FL 32136-0037
(386) 586-0035
(386) 586-0490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7082
FL
Other
Enumeration date
03/01/2006
Last updated
10/01/2007
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