Jose V Lara (NPI# 1134115058, PAC ID# 2961546650) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1134115058 |
| PAC ID by PECOS | 2961546650 |
| Professional Enrollment ID | I20100218000596 |
| Full Name | Jose V Lara |
| Organization Legal Name | JOSE V LARA MD PA |
| Address |
1840 Greenwich Ave Winter Park FL 32789-4012 |
| Phone Number | 4076444212 |
| Gender | M |
| Graduation Year | 1962 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 8123162815 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100110 | OSCEOLA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1840 Greenwich Ave, Winter Park, FL 32789-4012 | 4076444212 | JOSE V LARA MD PA |
| Organization Legal Name | JOSE V LARA MD PA |
| Physicians | 1 |
| Street Address |
1840 GREENWICH AVE |
| City | WINTER PARK |
| State | FL |
| Zip | 32789-4012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda C Hulce | Nurse Practitioner | Blue Ocean Dermatology LLC | 1840 Greenwich Ave, Winter Park, FL 32789-4012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Botond Palmer | Chiropractic | 1555 Howell Branch Rd, Suite B2, Winter Park, FL 32789-1170 | |
| Jane Cook | Diagnostic Radiology | Sheridan Radiology Services of West Florida Inc | 2091 Temple Dr, Winter Park, FL 32789-1672 |
| Naseem Latif | Obstetrics/gynecology | 2306 Lee Rd, Winter Park, FL 32789-1750 | |
| Mohammad A Latif | Internal Medicine | 2306 Lee Rd, Winter Park, FL 32789-1750 | |
| Dennis W Cross | Chiropractic | 912 Colfax Ave, Winter Park, FL 32789-1822 | |
| Annie Laurie Maddox | Clinical Social Worker | Jewish Family Services of Greater Orlando Inc | 2100 Lee Rd A, Winter Park, FL 32789-1862 |
| Teresa A Brown | Clinical Social Worker | Jewish Family Services of Greater Orlando Inc | 2100 Lee Rd A, Winter Park, FL 32789-1862 |
| Jomeo George Padavil | Internal Medicine | Florida Hospital Medical Group Inc | 1801 Lee Rd, Suite 307, Winter Park, FL 32789-2101 |
| Angela Delfina Aquino Mitra Perez | Nurse Practitioner | Florida Hospital Medical Group Inc | 1801 Lee Rd, Suite 307, Winter Park, FL 32789-2101 |
| Katie D Brewer | Nurse Practitioner | Florida Hospital Medical Group Inc | 1801 Lee Rd, Suite 307, Winter Park, FL 32789-2101 |
| Find all physicians in zip 32789 | |||
| City | WINTER PARK |
| Zip Code | 32789 |
| Specialty | DERMATOLOGY |
| City + Specialty | WINTER PARK + DERMATOLOGY |
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| 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.