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NPI Code Detail

MEDICARE: LARA J FIX DO

MEDICARE: LARA J FIX DO
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
1174400000XSpecialistOS9817FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14995388OTHERFLCIGNA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982880944
Entity Type Code : Organization
Provider Name (Legal Business Name) : LARA J FIX DO
Provider Business Mailing Address
First Line : PO BOX 1637
Second Line :
City : STUART
State : FL
Zip : 34995-1637
Country : US
Telephone Number : 772-219-9355
Fax Number : 772-219-9357
Provider Business Practice Location Address
First Line : 801 SE OSCEOLA ST
Second Line :
City : STUART
State : FL
Zip : 34994-2431
Country : US
Telephone Number : 772-219-9355
Fax Number : 772-219-9357
Authorized Official
Title or Position : CREDENTIALING
Name : SHARON A RODNEY
Credential :
Telephone Number : 772-219-9355
Provider Enumeration Date : 01/21/2008
Last Update Date : 01/06/2026

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Directions to “LARA J FIX DO ” Practice Location

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