Individual
DR. LARA TOUFIC DAKHOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15255 MAX LEGGETT PKWY STE 3100, JACKSONVILLE, FL 32218-7275
(904) 427-8965
(904) 633-0028
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(239) 343-6202
(239) 343-4159
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME149650
FL
207RG0100X
Gastroenterology Physician
ME149650
FL
208M00000X
Hospitalist Physician
Primary
ME149650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110385700
—
FL
01
—
PENDING
MEDICARE
FL
Enumeration date
04/10/2013
Last updated
04/24/2026
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