Individual
CARLOS ANDRES LARGACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2511 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-1653
(407) 931-3336
Mailing address
2511 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-1653
(407) 931-3336
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12249
FL
Other
Enumeration date
02/03/2013
Last updated
02/03/2013
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