Larranaga, Jorge Antonio

Larranaga, Jorge Antonio is an individual health care provider with primary practice located at 1101 N Central Ave , Kissimmee FL 34741-4405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Larranaga, Jorge Antonio can be contacted via phone (407) 851-5600.

Contact Information

Primary practice address
1101 N Central Ave Kissimmee FL 34741-4405
Phone: (407) 851-5600
Fax: (407) 438-9585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME70052 Florida

Profile Details

NPI number 1346215308
LBN Legal business name Larranaga, Jorge Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Apr 6th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346215308 NPPES
Florida Other 42853 BC/BS
Florida Other 2010629 BC/BS
Florida MEDICAID 253900400 BC/BS
Florida Other 3100100 BC/BS

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