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NPI Provider: 1689641433
Contact Name: Reneker Earl Larry
Position: Physician
Phone: (386) 586-0035
Larry E. Reneker, D.o., Pa Information:
Larry E. Reneker, D.o., Pa organization have npi 1689641433, taxonomy code is 207Q00000X with license number is OS7082 in . This Business address located in PO Box 37, Flagler Beach, FL 32136 Florida.
Practice Location
Address: 61 Memorial Medical Pkwy, Palm Coast, FL 32164
Phone: (386) 586-0035
Business Location
Address: PO Box 37, Flagler Beach, FL 32136
Phone: (386) 586-0035
Fax: (386) 586-0490
Taxonomy
Taxonomy Code: 207Q00000X
License Number: OS7082
License Number of State: FL
Primary Taxonomy Switch: Y
Enumeration Date: 3/1/2006
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