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Contact Information

LARRY J LATOUR OD PA
15551 NW 441 UNIT 110
ALACHUA, FL32616
 Phone: 386-462-7772
 Fax: 386-462-1122
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LARRY J LATOUR OD PA · (Female)

NPI Number 1770593295
Status Active
Credentials
Entity Individual
Enumeration date 08/08/2006
Last updated 10/22/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # OPC0001543
  • FL Medicaid 078166500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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