Individual
DR. CARLOS ENRIQUE LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8599 SW HIGHWAY 200, OCALA, FL 34481-7729
(352) 861-0043
(352) 861-8750
Mailing address
8599 SW HIGHWAY 200, OCALA, FL 34481-7729
(352) 861-0043
(352) 861-8750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME94643
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276904200
—
FL
01
—
ME94543
STATE LICENSE
FL
Enumeration date
06/14/2006
Last updated
09/24/2012
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