Individual
DEBRA LARUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
800 NW 95TH ST, MIAMI, FL 33150-2032
(305) 836-1550
Mailing address
800 NW 95TH ST, MIAMI, FL 33150-2032
(305) 836-1550
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
20862
FL
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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