Individual
JOSE GABRIEL LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-5000
Mailing address
7131 HIGH CORNER RD, BROOKSVILLE, FL 34602-7492
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA576
FL
Other
Enumeration date
05/14/2020
Last updated
10/03/2025
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