Organization
VEIN CLINIC OF ST CLOUD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE ANTONIO LARRANAGA MD (OWNER)
(321) 436-1783
Entity
Organization
Contact information
Practice address
720 W OAK ST STE 309, KISSIMMEE, FL 34741-4910
(321) 436-1783
Mailing address
720 W OAK ST STE 309, KISSIMMEE, FL 34741-4910
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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