Individual
LARISSA DUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W OAK ST, KISSIMMEE, FL 34741-4924
(248) 898-2001
Mailing address
700 W OAK ST, KISSIMMEE, FL 34741-4924
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME118816
FL
Other
Enumeration date
07/05/2011
Last updated
01/21/2024
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