Individual
JUAN LARROUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 US HIGHWAY 1 S, SUITE 1, ST AUGUSTINE, FL 32086-6351
(904) 824-4990
(904) 824-2226
Mailing address
3100 US HIGHWAY 1 S, SUITE 1, ST AUGUSTINE, FL 32086-6351
(904) 824-4990
(904) 824-2226
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME22131
FL
Other
Enumeration date
09/13/2006
Last updated
02/19/2008
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