Todd Larue, MD
Family Medicine in Dade City, FL. Individual provider (NPI-1).
NPI number1912920950
StatusActive
Last updated in NPPESAug 26, 2021
Details
- NPI
- 1912920950
- Entity type
- Individual (NPI-1)
- Name
- Todd Larue
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2006
- Certification date
- Aug 26, 2021
- Last updated
- Aug 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME56906 | FL | Yes |
Practice location
13417 Us Hwy 301 SSuite D
Dade City, FL 33525
Phone 352-567-8640 · Fax 813-355-5027
Mailing address
38135 Market SquareZephyrhills, FL 33542
Phone 813-528-4975
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