Healthcare Provider Details

I. General information

NPI: 1619085214
Provider Name (Legal Business Name): FRANCIS ANTHONY LAROSA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 03/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5875 BREMO RD SUITE 606
RICHMOND VA
23226-1934
US

IV. Provider business mailing address

400 WESTHAMPTON STA
RICHMOND VA
23226-3330
US

V. Phone/Fax

Practice location:
  • Phone: 804-484-3200
  • Fax:
Mailing address:
  • Phone: 804-287-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number0101225943
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: