Active NPI
Larx, LLC
- Obstetrics & Gynecology Physician
- Kissimmee, FL
National Provider Identifier
1770211328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- LARX, LLC
- Practice address
- 1160 Cypress Glen Cir
Kissimmee, FL 34741-7560 - Phone
- (407) 518-1074
- Fax
- (407) 518-9056
- NPI assigned
- Aug 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ryan Shelton
- Title
- VP of Operations
- Phone
- (850) 855-3800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary | ||
| Pharmacy | 333600000X |
Addresses
Primary practice location
1160 Cypress Glen Cir
Kissimmee, FL 34741-7560
Mailing address
1160 Cypress Glen Cir
Kissimmee, FL 34741-7560
Phone (407) 518-1074
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660176000000",
"number": "1770211328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 CYPRESS GLEN CIR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417560",
"telephone_number": "407-518-1074",
"fax_number": "407-518-9056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 CYPRESS GLEN CIR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417560",
"telephone_number": "407-518-1074",
"fax_number": "407-518-9056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-11",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A",
"authorized_official_last_name": "SHELTON",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "850-855-3800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.