Individual
BOBBY R LAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 328-8371
(386) 312-0775
Mailing address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 328-8371
(386) 328-8371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1716
WV
207Q00000X
Family Medicine Physician
Primary
OS9833
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007104000
—
WV
Enumeration date
07/13/2005
Last updated
07/02/2009
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