Active NPI
Eric Larue, MD
- Family Medicine Physician
- Winter Haven, FL
National Provider Identifier
1902829708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME0045287
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME0045287 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larue and Larue Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Specialist
- Winter Haven, FL
- NPI 1073723821
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.