Dvorak, Larissa
Dvorak, Larissa is an sole proprietor health care provider with primary practice located at 1590 Dunlawton Ave , Port Orange FL 32127-4752. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Dvorak, Larissa can be contacted via phone (386) 756-1900.Contact Information
Primary practice address
1590 Dunlawton Ave
Port Orange FL 32127-4752
Phone: (386) 756-1900
Fax: (386) 756-8133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3433 | Florida |
Profile Details
| NPI number | 1053631135 |
|---|---|
| LBN Legal business name | Dvorak, Larissa |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2010 |
| Last updated | Jun 10th, 2010 - about 14 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.
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