Individual
RICARDO JOSE LARRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 W PLYMOUTH AVE, DELAND, FL 32720-3271
(386) 736-1404
(386) 736-1423
Mailing address
800 W PLYMOUTH AVE, DELAND, FL 32720-3271
(386) 736-1404
(386) 736-1423
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0062589
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370830600
—
FL
Enumeration date
12/14/2006
Last updated
06/19/2012
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