Lara, Tirso Mark

Lara, Tirso Mark is an individual health care provider with primary practice located at 850 S. Pine Island Rd. Ste. A100, Plantation FL 33351-6741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lara, Tirso Mark can be contacted via phone (954) 741-5555.

Contact Information

Primary practice address
850 S. Pine Island Rd. Ste. A100 Plantation FL 33351-6741
Phone: (954) 741-5555
Fax: (954) 741-6298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME93684 Florida

Profile Details

NPI number 1457353054
LBN Legal business name Lara, Tirso Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Mar 22nd, 2021 - about 5 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 1457353054 NPPES
Florida Other 7799557 AETNA
Florida Other 28741 AETNA
Florida Other 301162 AETNA
Florida Other 650560968 AETNA
Florida MEDICAID 273396000 AETNA
Florida Other 301162 AETNA
Florida Other 650560968 AETNA
Florida Other 650560968 AETNA

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