Individual provider Active NPI

Eric Larue, MD

  • Family Medicine Physician
  • Winter Haven, FL
National Provider Identifier
1902829708
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0045287 Issued in FL
Practice address
400 Avenue K SE Ste 8
Winter Haven, FL 33880-4123
Phone
(863) 294-3111
Fax
(863) 662-3975
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X ME0045287 FL
Diabetology (Family Medicine) Physician 207QD0401X ME0045287 FL
Pediatrics Physician 208000000X ME0045287 FL
Obesity Medicine (Preventive Medicine) Physician 2083B0002X ME0045287 FL
Family Medicine Physician 207Q00000X ME0045287 FL Primary
Pediatric Adolescent Medicine Physician 2080A0000X ME0045287 FL

Addresses

Primary practice location

400 Avenue K SE Ste 8
Winter Haven, FL 33880-4123

Mailing address

400 Avenue K SE Ste 8
Winter Haven, FL 33880-4123
Phone (863) 294-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0045287FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Larue and Larue Pediatrics Past Accepting new patients

Interoperability endpoints

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1902829708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVENUE K SE STE 8",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804123",
            "telephone_number": "863-294-3111",
            "fax_number": "863-662-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVENUE K SE STE 8",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804123",
            "telephone_number": "863-294-3111",
            "fax_number": "863-662-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARUE",
        "first_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "ME0045287",
            "primary": false
        },
        {
            "code": "207QD0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Diabetology",
            "state": "FL",
            "license": "ME0045287",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0045287",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "FL",
            "license": "ME0045287",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0045287",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME0045287",
            "primary": false
        }
    ],
    "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 Mar 17, 2026; 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.