Antonio J Larranaga (NPI# 1073575320, PAC ID# 4082621339) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
Nation Provider ID (NPI) | 1073575320 |
PAC ID by PECOS | 4082621339 |
Professional Enrollment ID | I20060313000289 |
Full Name | Antonio J Larranaga |
Organization Legal Name | LEGACY BEHAVIORAL HEALTH CENTER INC |
Address |
15818 Sw Warfield Blvd Indiantown FL 34956-3513 |
Phone Number | 7725970411 |
Gender | M |
Credential | MD |
Graduation Year | 1981 |
Primary Specialty | PSYCHIATRY |
Group Practice PAC ID | 3072677756 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
15818 Sw Warfield Blvd, Indiantown, FL 34956-3513 | 7725970411 | LEGACY BEHAVIORAL HEALTH CENTER INC |
304 Nw 5th St, Okeechobee, FL 34972-2565 | 8633578268 | LEGACY BEHAVIORAL HEALTH CENTER INC |
304 Nw 5th St, Plaza 300, Okeechobee, FL 34972-2565 | 8633578268 | LEGACY BEHAVIORAL HEALTH CENTER INC |
Organization Legal Name | LEGACY BEHAVIORAL HEALTH CENTER INC |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
Juan Luis Castro Cordoba | Psychiatry | Legacy Behavioral Health Center Inc | 2632 Sw Port St Lucie Blvd, Port Saint Lucie, FL 34953-2845 |
Leah D Scott | Clinical Social Worker | Legacy Behavioral Health Center Inc | 304 Nw 5th St, Okeechobee, FL 34972-2565 |
Mehrunnis Sultana | Psychiatry | Legacy Behavioral Health Center Inc | 2640 Forest Hill Blvd, West Palm Beach, FL 33406-5931 |
Cleopatra Ortiz | Psychiatry | Legacy Behavioral Health Center Inc | 726 20th St, Vero Beach, FL 32960-5442 |
Balinder S. Chahal | Psychiatry | Legacy Behavioral Health Center Inc | 755 27th Ave Sw, Suite 9and10, Vero Beach, FL 32968-4200 |
Subhash R Tiwari | Psychiatry | Legacy Behavioral Health Center Inc | 726 20th St, Vero Beach, FL 32960-5442 |
Aimee L Tischuk | Psychiatry | Legacy Behavioral Health Center Inc | 2640 Forest Hill Blvd, West Palm Beach, FL 33406-5931 |
James B Wirth | Psychiatry | Legacy Behavioral Health Center Inc | 2640 Forest Hill Blvd, West Palm Beach, FL 33406-5931 |
Street Address |
15818 SW WARFIELD BLVD |
City | INDIANTOWN |
State | FL |
Zip | 34956-3513 |
Name | Specialty | Organization | Address |
---|---|---|---|
Muhammad S Nooruddin | Physical Therapy | 14350 Sw Kanner Hwy, Indiantown, FL 34956-3120 | |
Muhammad K Syed | Internal Medicine | 15516 Sw Osceola St, Suite B, Indiantown, FL 34956-3414 | |
Tammy Lynn Tuchel | Family Medicine | Florida Community Health Centers Inc | 15858 Sw Warfield Blvd, Indiantown, FL 34956-3513 |
Amilcar Miguel Lominchar | General Practice | Florida Community Health Centers Inc | 15858 Sw Warfield Blvd, Indiantown, FL 34956-3513 |
Iva Toussaint-zollicoffer | Nurse Practitioner | Florida Community Health Centers Inc | 15858 Sw Warfield Blvd, Indiantown, FL 34956-3513 |
City | INDIANTOWN |
Zip Code | 34956 |
Specialty | PSYCHIATRY |
City + Specialty | INDIANTOWN + PSYCHIATRY |
Please comment or provide details below to improve the information on Antonio J Larranaga.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.