Larrain, Ricardo Jose
Larrain, Ricardo Jose is an sole proprietor health care provider with primary practice located at 800 W Plymouth Ave , Deland FL 32720-3271. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Larrain, Ricardo Jose can be contacted via phone (386) 736-1404.Contact Information
Primary practice address
800 W Plymouth Ave
Deland FL 32720-3271
Phone: (386) 736-1404
Fax: (386) 736-1423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME0062589 | Florida |
Profile Details
| NPI number | 1154483634 |
|---|---|
| LBN Legal business name | Larrain, Ricardo Jose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jun 19th, 2012 - about 12 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 | 1154483634 | NPPES |
| Florida | MEDICAID | 370830600 |
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