| Larry E. Reneker, D.o., Pa | |
|
61 Memorial Medical Pkwy Ste: 2804 Palm Coast FL 32164-5981 | |
| (386) 586-0035 | |
| (386) 586-0490 |
| Full Name | Larry E. Reneker, D.o., Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 61 Memorial Medical Pkwy, Palm Coast, Florida |
| Authorized Official Name and Position | Larry Earl Reneker (PHYSICIAN) |
| Authorized Official Contact | 3865860035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry E. Reneker, D.o., Pa Po Box 37 Flagler Beach FL 32136-0037 Ph: (386) 586-0035 | Larry E. Reneker, D.o., Pa 61 Memorial Medical Pkwy Ste: 2804 Palm Coast FL 32164-5981 Ph: (386) 586-0035 |
| NPI Number | 1689641433 |
|---|---|
| Provider Enumeration Date | 03/01/2006 |
| Last Update Date | 10/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689641433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS7082 (Florida) | Primary |
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