| Rita Laracuente Md Pa | |
|
14325 Bending Branch Ct Orlando FL 32824-6346 | |
| (407) 855-9905 | |
| (407) 857-2486 |
| Full Name | Rita Laracuente Md Pa |
|---|---|
| Speciality | General Practice |
| Location | 14325 Bending Branch Ct, Orlando, Florida |
| Authorized Official Name and Position | Rita Laracuente (PRESIDENT) |
| Authorized Official Contact | 4074927927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rita Laracuente Md Pa 14325 Bending Branch Ct Orlando FL 32824-6346 Ph: (407) 855-9905 | Rita Laracuente Md Pa 14325 Bending Branch Ct Orlando FL 32824-6346 Ph: (407) 855-9905 |
| NPI Number | 1730218165 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2062301492 |
|---|---|
| Medicare Enrollment ID | O20040313000256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730218165 | NPI | - | NPPES |
| 266044000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Rita Laracuente |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1871538462 PECOS PAC ID: 7618866922 Enrollment ID: I20080516000194 |
| Provider Name | Tabassum Zehra Merchant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538425608 PECOS PAC ID: 7315109584 Enrollment ID: I20120504000142 |
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