JOSE GABRIEL LARA

FORT MYERS, FL
NPI1942822879
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: FL  AA576)
Enumeration Date2020-05-14
Last Update Date2025-10-03
Business Address
JOSE GABRIEL LARA AA-C
9981 S HEALTHPARK DR
FORT MYERS, FL 33908-3618
Phone number: 239-343-5000
Mailing Address
JOSE GABRIEL LARA AA-C
7131 HIGH CORNER RD
BROOKSVILLE, FL 34602-7492
Phone number:
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