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Individual

GUY P LAFOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
220 POINCIANA LN, LARGO, FL 33770-2615
(727) 581-2586
(727) 581-2586
Mailing address
220 POINCIANA LN, LARGO, FL 33770-2615
(727) 581-2586
(727) 581-2586

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 51822
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17855
BLUE CROSS BLUE SHIELD
DC
01
214860
AVMED
DC
05
370888800
FL
01
P00250
HEALTHEASE
FL
Enumeration date
03/02/2007
Last updated
05/22/2012
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