Individual
LARISA PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5350 SPRING HILL DR, SPRING HILL, FL 34606-4562
(352) 688-8116
(352) 686-9477
Mailing address
14690 SPRING HILL DR STE 305, SPRING HILL, FL 34609-8102
(352) 277-5348
(352) 606-2857
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS14105
FL
208M00000X
Hospitalist Physician
Primary
OS14105
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS14105
LICENSE
FL
Enumeration date
05/21/2012
Last updated
12/20/2018
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