Organization
JOSE V LARA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE V LARA MD (PRESIDENT)
(407) 644-4212
Entity
Organization
Contact information
Practice address
1840 GREENWICH AVE, WINTER PARK, FL 32789-4012
(407) 644-4212
(407) 645-5590
Mailing address
1840 GREENWICH AVE, WINTER PARK, FL 32789-4012
(407) 644-4212
(407) 645-5590
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME15213
FL
Other
Enumeration date
12/23/2009
Last updated
10/15/2013
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