Individual
MARIE B LARIZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
120 LEMON STREET, NEPTUNE BEACH, FL 32266
(904) 247-8682
Mailing address
1015 ATLANTIC BLVD., STE 267, ATLANTIC BEACH, FL 32233
(904) 247-8682
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA0010742
FL
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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