Larsen, Jodi

Larsen, Jodi is an individual health care provider with primary practice located at 6100 Minton Rd Nw Ste 102, Palm Bay FL 32907-1900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Larsen, Jodi can be contacted via phone (321) 724-1171.

Contact Information

Primary practice address
6100 Minton Rd Nw Ste 102 Palm Bay FL 32907-1900
Phone: (321) 724-1171
Fax: (321) 724-9024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9323212 Florida

Profile Details

NPI number 1861931032
LBN Legal business name Larsen, Jodi
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2017
Last updated Mar 14th, 2017 - about 9 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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