Organization
LARX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN SHELTON (VP OF OPERATIONS)
(850) 855-3800
Entity
Organization
Contact information
Practice address
1160 CYPRESS GLEN CIR, KISSIMMEE, FL 34741-7560
(407) 518-1074
(407) 518-9056
Mailing address
1160 CYPRESS GLEN CIR, KISSIMMEE, FL 34741-7560
(407) 518-1074
(407) 518-9056
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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