| Organization Name: | RITA LARACUENTE MD PA |
| NPI Number: | 1730218165 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RITA LARACUENTE (PRESIDENT) |
| Mailing Address: | 14325 Bending Branch Ct Orlando |
| State: | FL US |
| Postal Code: | 328246346 |
| Phone Number: | 4078559905 |
| Fax Number: | 4078572486 |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |