Individual
EDDY LAROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
605 LAMAR AVE, BROOKSVILLE, FL 34601-3211
(352) 796-9990
(352) 796-2226
Mailing address
605 LAMAR AVE, BROOKSVILLE, FL 34601-3211
(352) 796-9990
(352) 796-2226
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME130658
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080071835
RAILROAD MEDICARE
NY
01
—
3515
ROCHESTER BLUE SHIELD
—
Enumeration date
07/29/2006
Last updated
08/23/2021
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