Individual
MR. REGINALD LAROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, CES
Contact information
Practice address
14096 SW 51 LN, MIRAMAR, FL 33027
(954) 205-9904
Mailing address
14096 SW 51ST LN, MIRAMAR, FL 33027
(954) 205-9904
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
655870
FL
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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