Individual
DR. IONE VILDRIA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2212 E HENRY AVENUE, TAMPA, FL 33610
(813) 272-2882
(813) 272-3198
Mailing address
2212 E HENRY AVENUE, TAMPA, FL 33610
(813) 272-2882
(813) 272-3198
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME41287
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30574
BCBS OF FL
FL
Enumeration date
09/07/2006
Last updated
07/08/2007
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