Organization Active NPI

Larue and Larue Pediatrics

  • Specialist
  • Winter Haven, FL
National Provider Identifier
1073723821
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0045287 Issued in FL
Legal business name
LARUE AND LARUE PEDIATRICS
Practice address
400 Avenue K SE
Ste 5
Winter Haven, FL 33880-4146
Phone
(863) 293-3909
Fax
(863) 293-1909
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Larue, MDNPI 1902829708
Title
Owner
Phone
(863) 293-3909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0045287 FL Primary

Addresses

Primary practice location

400 Avenue K SE
Ste 5
Winter Haven, FL 33880-4146

Mailing address

400 Avenue K SE
Ste 5
Winter Haven, FL 33880-4146
Phone (863) 293-3909

National Provider Directory

National Provider Directory

Locations

400 Avenue K SE
Ste 5
Winter Haven, FL 33880
Phone (863) 269-0210

400 Avenue K SE
Ste 8
Winter Haven, FL 33880
Phone (863) 294-3111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7808/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073723821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVENUE K SE",
            "address_2": "STE 5",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804146",
            "telephone_number": "863-293-3909",
            "fax_number": "863-293-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVENUE K SE",
            "address_2": "STE 5",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804146",
            "telephone_number": "863-293-3909",
            "fax_number": "863-293-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARUE AND LARUE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARUE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-293-3909",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0045287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.