Guerrero, Larissa Antonia

Guerrero, Larissa Antonia is an individual health care provider with primary practice located at 1071 S Sun Dr Suite 1043, Lake Mary FL 32746-2405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Guerrero, Larissa Antonia can be contacted via phone (407) 333-1616.

Contact Information

Primary practice address
1071 S Sun Dr Suite 1043 Lake Mary FL 32746-2405
Phone: (407) 333-1616
Fax: (407) 333-1617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME 121834 Florida

Profile Details

NPI number 1952534547
LBN Legal business name Guerrero, Larissa Antonia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2009
Last updated Jun 29th, 2015 - about 11 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 1952534547 NPPES
South Carolina MEDICAID 342677

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