Organization
JL LARIA APRN PA
Active
Other names
Laria Medspa
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE L LARIA APRN (CEO)
(305) 308-2513
Entity
Organization
Contact information
Practice address
5751A SW 40TH ST, MIAMI, FL 33155-5301
(305) 299-7290
Mailing address
5751A SW 40TH ST, MIAMI, FL 33155-5301
(305) 299-7290
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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