Larrazabal, Patrick John

Larrazabal, Patrick John is an individual health care provider with primary practice located at 500 Memorial Cir Suite A, Ormond Beach FL 32174-5071. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Larrazabal, Patrick John can be contacted via phone (386) 676-2779.

Contact Information

Primary practice address
500 Memorial Cir Suite A Ormond Beach FL 32174-5071
Phone: (386) 676-2779
Fax: (386) 676-2811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0086562 Florida

Profile Details

NPI number 1518923275
LBN Legal business name Larrazabal, Patrick John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jan 3rd, 2011 - about 13 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 1518923275 NPPES
Florida MEDICAID 266766500

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