Larissa Dvorak, OD

NPI 1053631135 · on the registry since 2010 · sole proprietor

Practice

Address: 1590 Dunlawton Ave
Port Orange, FL 32127
Phone: (386) 756-1900
Fax: (386) 756-8133
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida