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Christian Lara, PTA26488
NPI 1679027130 · on the registry since 2016 · sole proprietor
Practice
- Address
- 700 Se 8th Ave
Crystal River, FL 34429 - Phone
- (352) 795-8832
- Organisation at this address
- Cypress Cove Lessee Llc
Cogent Healthcare Of Jacksonville, LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-08-12
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