Davis, Larry J.

Davis, Larry J. is an sole proprietor health care provider with primary practice located at 701 6Th St S , St Petersburg FL 33701-4814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Davis, Larry J. can be contacted via phone (727) 893-6182.

Contact Information

Primary practice address
701 6Th St S St Petersburg FL 33701-4814
Phone: (727) 893-6182
Fax: (727) 893-6861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME0024195 Florida

Profile Details

NPI number 1770502098
LBN Legal business name Davis, Larry J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Sep 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770502098 NPPES
Florida MEDICAID 067949600

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