Individual
MARK JOSEPH LARRALDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 ALTON RD, MIAMI BEACH, FL 33140-2948
(305) 441-0910
(305) 441-0920
Mailing address
13206 NW 8TH ST, MIAMI, FL 33182-2285
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME141536
FL
Other
Enumeration date
04/18/2012
Last updated
09/25/2020
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