Jose V Lara, M.D., P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME15213 Issued in FL

Legal business name

JOSE V LARA, M.D., P.A.

Practice address

1840 Greenwich Ave
Winter Park, FL 32789-4012

Phone

(407) 644-4212

Fax

(407) 645-5590

NPI assigned

Dec 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jose V Lara, MD

Title

President

Phone

(407) 644-4212

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1689903528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 GREENWICH AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894012",
            "telephone_number": "407-644-4212",
            "fax_number": "407-645-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 GREENWICH AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894012",
            "telephone_number": "407-644-4212",
            "fax_number": "407-645-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE V LARA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-644-4212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME15213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara W Jordan, L.C.S.W.
• Courtney Jordan
• Darin Jordan, MD
• Johanna Jordan, M.A.
• Jonathan Jordan, L.C.S.W.
• Joseph L. Trim, M.a., P.a.
• Joseph Plastic Surgery, PLC
• Annmarie Joseph, APRN
• Brenda Joseph
• Brian Patrick Joseph, MD

• Dermatology Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.