Organization
FLETA MEDICAL CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK JOHN LARRAZABAL MD (AR/ PROVIDER)
(386) 334-1295
Entity
Organization
Contact information
Practice address
2089 S RIDGEWOOD AVE, SOUTH DAYTONA, FL 32119-2240
(386) 767-7533
Mailing address
500 MEMORIAL CIR, SUITE A, ORMOND BEACH, FL 32174-5071
(386) 334-1295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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