Larson, Travis L

Larson, Travis L is an individual health care provider with primary practice located at 5907 Berryhill Rd , Milton FL 32570-8278. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Larson, Travis L can be contacted via phone (850) 623-9787.

Contact Information

Primary practice address
5907 Berryhill Rd Milton FL 32570-8278
Phone: (850) 623-9787
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME144531 Florida

Profile Details

NPI number 1417482373
LBN Legal business name Larson, Travis L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2017
Last updated Jun 30th, 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.

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