Larry D Canton Do Pa

NPI 1073795274 - Family Medicine - 207Q00000X

NPI Details
NPI 1073795274
Enumeration Date 11/29/2007
Last Updated 02/29/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LARRY D LARRY
Position OWNER
Phone (727) 524-7988
Fax (727) 524-4942
Practice Location
2888 ROOSEVELT BLVD
CLEARWATER FL, 33760-1923, US
Phone (727) 524-7988
Fax (727) 524-4942
Business Location
2888 ROOSEVELT BLVD
CLEARWATER FL, 33760-1923, US
Phone (727) 524-7988
Fax (727) 524-4942
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number OS4904
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According to our database, Larry D Canton Do Pa NPI is 1073795274, taxonomy code is 207Q00000X and license number is OS4904, license state is located at Florida. Larry D Canton Do Pa physically located at 2888 Roosevelt Blvd, Clearwater FL, 33760-1923. NPI Number 1033115704 has the healthcare provider type.

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1073795274 NPI number is provided on an as is basis without warranty of any kind. 1073795274 is maintained by the National Plan & Provider Enumeration System. The contents of Larry D Canton Do Pa are for informational purposes only.