Brown, Larry Garland
Brown, Larry Garland is an individual health care provider with primary practice located at 2001 College St , Jacksonville FL 32204-3703. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brown, Larry Garland can be contacted via phone (904) 355-5555.Contact Information
Primary practice address
2001 College St
Jacksonville FL 32204-3703
Phone: (904) 355-5555
Fax: (904) 355-9966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3690 | Florida |
Profile Details
| NPI number | 1952304032 |
|---|---|
| LBN Legal business name | Brown, Larry Garland |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Nov 22nd, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952304032 | NPPES |
| Florida | Other | 1205295 | AETNA HMO |
| Florida | MEDICAID | 621015500 | AETNA HMO |
| Florida | Other | P00272233 | AETNA HMO |
| Florida | Other | 2201820 | AETNA HMO |
| Florida | Other | 28563 | AETNA HMO |
| Florida | Other | 299520 | AETNA HMO |
| Florida | Other | 1018387 | AETNA HMO |
| Florida | Other | 5457809 | AETNA HMO |
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