Individual
MS. VALERIE L LARUBBIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4568 PHIPPS DR, PORT ORANGE, FL 32129-3678
(386) 788-9243
Mailing address
4568 PHIPPS DR, PORT ORANGE, FL 32129-3678
(386) 788-9243
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
09-07-36-04
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230371000
—
FL
Enumeration date
05/14/2008
Last updated
05/14/2008
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