DR. James W Large

NPI #1235166778 in Vero Beach, Florida

Provider Information

NPI Number: 1235166778
Entity Type: Individual
Name: DR. James W Large
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 28, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 777 37TH ST
Address 2: SUITE C105
City: Vero Beach
State: Florida
ZIP Code: 32960-4873
Phone: (772) 569-5094

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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