Deeb, Larry Charles
Deeb, Larry Charles is an sole proprietor health care provider with primary practice located at 2633 Centennial Blvd Ste 100 , Tallahassee FL 32308-0606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as his primary health care specialty. Deeb, Larry Charles can be contacted via phone (850) 431-5404.Contact Information
Primary practice address
2633 Centennial Blvd Ste 100
Tallahassee FL 32308-0606
Phone: (850) 431-5404
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | ME 36405 | Florida |
Profile Details
| NPI number | 1497741839 |
|---|---|
| LBN Legal business name | Deeb, Larry Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Apr 13th, 2020 - about 6 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 | 1497741839 | NPPES |
| Georgia | MEDICAID | 00241018C | |
| Georgia | MEDICAID | 039439400 | |
| Georgia | Other | 37276 |
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