Individual
LARITSSA PALACIO COBIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8701 MAITLAND SUMMIT BLVD, ORLANDO, FL 32810-5915
(407) 916-4522
(407) 916-4525
Mailing address
8701 MAITLAND SUMMIT BLVD, ORLANDO, FL 32810-5915
(407) 916-4522
(407) 916-4525
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME85208
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57651
BCBS FILING NUMBER
FL
Enumeration date
11/28/2006
Last updated
07/08/2007
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