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Individual

CYNTHIA A LAROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1840 CLASSIQUE LANE, TAVARES, FL 32778-1924
(352) 508-5046
(352) 508-5048
Mailing address
PO BOX 1245, TAVARES, FL 32778-1245
(352) 508-5046
(352) 508-5048

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME83296
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262396000
FL
Enumeration date
09/30/2005
Last updated
04/28/2010
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