Individual
DR. JAMES W LARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 37TH ST, SUITE C105, VERO BEACH, FL 32960-4873
(772) 569-5094
(772) 569-3816
Mailing address
777 37TH ST, SUITE C105, VERO BEACH, FL 32960-4873
(772) 569-5094
(772) 569-3816
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0039032
FL
Other
Enumeration date
06/28/2006
Last updated
07/09/2007
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