Antola Lardizabal, Carla
Antola Lardizabal, Carla is an individual health care provider with primary practice located at 2300 N Commerce Parkway , Weston FL 33326. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Antola Lardizabal, Carla can be contacted via phone (954) 217-5700.Contact Information
Primary practice address
2300 N Commerce Parkway
Weston FL 33326
Phone: (954) 217-5700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A124251 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD150544 | Oregon |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301090806 | Michigan |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME126706 | Florida |
Profile Details
| NPI number | 1568654101 |
|---|---|
| LBN Legal business name | Antola Lardizabal, Carla |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2007 |
| Last updated | Sep 6th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568654101 | NPPES |
| Florida | Other | ME126706 | MEDICAL LICENSE |
| Florida | Other | 161133 | MEDICAL LICENSE |
| Florida | Other | 4301090806 | MEDICAL LICENSE |
| Florida | Other | R0000WFBTV | MEDICAL LICENSE |
| Florida | Other | MD150544 | MEDICAL LICENSE |
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