Larry E. Reneker, D.O., PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS7082 Issued in FL

Legal business name

LARRY E. RENEKER, D.O., PA

Practice address

61 Memorial Medical Pkwy
Ste: 2804
Palm Coast, FL 32164-5981

Phone

(386) 586-0035

Fax

(386) 586-0490

NPI assigned

Mar 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Larry Earl Reneker, D.O.

Title

Physician

Phone

(386) 586-0035

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1689641433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321360037",
            "telephone_number": "386-586-0035",
            "fax_number": "386-586-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MEMORIAL MEDICAL PKWY",
            "address_2": "STE: 2804",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645981",
            "telephone_number": "386-586-0035",
            "fax_number": "386-586-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY E. RENEKER, D.O., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "RENEKER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "386-586-0035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Lynn Langenderfer, D.C.
• Julie Langley
• Lance J Langston, RBT
• Peter S. Larkin, M.A.
• Tara Lee Larkin, MD
• Lidya Margarita Lataban-Lopez, MD
• Shariq Latif, M.D.
• Brooke Alexis Laughlin
• Blair Ashley Lawton, APRN
• Kymber Lawver, OTR/L

• Family Medicine Physician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.