JL LARIA APRN PA


Address: 5751a Sw 40th St, Miami, FL 33155-5301
Phone: 3052997290

JL LARIA APRN PA (NPI# 1417562414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417562414
Entity Type Organization
Organization Name JL LARIA APRN PA
Practice Address 5751a Sw 40th St
Miami
FL 33155-5301
Practice Telephone 3052997290
Mailing Telephone 3052997290
Enumeration Date 2020-09-15
Last Update Date 2020-09-15
Authorized Official Name JOSE L LARIA (CEO)
Authorized Official Telephone 3053082513
Authorized Official Credential APRN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Laria Medspa Doing Business As Name - Organization

Office Location

Street Address 5751A SW 40TH ST
City MIAMI
State FL
Zip Code 33155-5301

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City MIAMI
Zip Code 33155

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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