Individual
KEVIN LAROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3027 SAN DIEGO RD, JACKSONVILLE, FL 32207-3691
(904) 493-7744
Mailing address
10018 BLOSSOM CREEK LN, JACKSONVILLE, FL 32222-2565
(904) 635-9984
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/30/2019
Last updated
07/01/2019
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