Individual
LAWRENCE RECCOPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 NW 76TH DR, SUITE B, GAINESVILLE, FL 32607-6652
(352) 332-1300
(352) 332-1346
Mailing address
108 NW 76TH DR, SUITE B, GAINESVILLE, FL 32607-6652
(352) 332-1300
(352) 332-1346
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME53986
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275867900
—
FL
Enumeration date
12/06/2006
Last updated
02/11/2014
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