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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

NPI Number 1770593295
LBN Legal business name LARRY J LATOUR OD PA
Authorized official LARRY LATOUR - (OPTOMETRIST PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/08/2006
Last updated 10/22/2012 - About 14 years ago
Identifiers
FL License # OPC0001543
FL Medicaid 078166500
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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