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Organization

LARA J FIX DO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON A RODNEY (CREDENTIALING)
(772) 219-9355
Entity
Organization

Contact information

Practice address
801 SE OSCEOLA ST, STUART, FL 34994-2431
(772) 219-9355
(772) 219-9357
Mailing address
PO BOX 1637, STUART, FL 34995-1637
(772) 219-9355
(772) 219-9357

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OS9817
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4995388
CIGNA
FL
Enumeration date
01/21/2008
Last updated
01/06/2026
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