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1457353054
TIRSO MARK LARA
PLANTATION, FL
NPI
1457353054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: FL ME93684)
Enumeration Date
2005-08-12
Last Update Date
2021-03-22
Business Address
Dr. TIRSO MARK LARA M.D.
850 S. PINE ISLAND RD. STE. A100
PLANTATION, FL 33351-6741
Phone number: 954-741-5555
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Mailing Address
Dr. TIRSO MARK LARA M.D.
PO BOX 31796
TAMPA, FL 33631-3796
Phone number: 954-851-9966
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