MEDICARE: LARMOYEUX CLINIC PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1295825842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LARMOYEUX CLINIC PA

Provider Business Mailing Address
First Line	:	124 E ASHLEY ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32202-3118
Country	:	US
Telephone Number	:	904-353-5696
Fax Number	:	904-353-2844

Provider Business Practice Location Address
First Line	:	124 E ASHLEY ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32202-3118
Country	:	US
Telephone Number	:	904-353-5696
Fax Number	:	904-353-2844

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DR. JOHN E TRAINER III
Credential	:	MD
Telephone Number	:	904-353-5696

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	10/27/2008

Similar Medicare Providers

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Practice Location Address:

124 E ASHLEY ST
JACKSONVILLE, FL
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Practice Phone: 904-353-5696
Practice Fax: 904-353-2844

1043214695 — DR. ELIZABETH FLETCHER TRAINER MD
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1093773970 — TRA'CHELLA J FOY M.D.
Practice Location Address:

124 E ASHLEY ST
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1780782466 — DR. ALISHA STANFORD DMD
Practice Location Address:

3118 NEW BERLIN ROAD , SUITE 1
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Practice Fax:

1568560118 — PODVIA AND STANFORD DMDS
Practice Location Address:

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1447350988 — DR. KRISTAN DAVID PODVIA DMD
Practice Location Address:

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Directions to “LARMOYEUX CLINIC PA ” Practice Location

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