Individual
LARISA GAITOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
800 SE CENTRAL PKWY, STUART, FL 34994-3901
(872) 231-3162
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS18275
FL
Other
Enumeration date
09/16/2009
Last updated
11/21/2025
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