Organization
CARLOS LAROCCA, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS M LAROCCA MD (OWNER/PHYSICIAN)
(305) 271-4001
Entity
Organization
Contact information
Practice address
11130 SW 88TH ST, SUITE 200, MIAMI, FL 33176-0939
(305) 271-4001
(305) 270-0108
Mailing address
11130 SW 88TH ST, SUITE 200, MIAMI, FL 33176-0939
(305) 271-4001
(305) 270-0108
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME 82455
FL
207Q00000X
Family Medicine Physician
Primary
ME 53044
FL
207QA0401X
Addiction Medicine (Family Medicine) Physician
ME 53044
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048413000
—
FL
Enumeration date
09/21/2009
Last updated
09/21/2009
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