Suecof, Larry Alan
Suecof, Larry Alan is an individual health care provider with primary practice located at 202 N Park Ave Ste 500 , Apopka FL 32703. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Suecof, Larry Alan can be contacted via phone (407) 410-1234.Contact Information
Primary practice address
202 N Park Ave Ste 500
Apopka FL 32703
Phone: (407) 410-1234
Fax: (407) 517-1040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 000281 | Connecticut |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 000281 | Connecticut |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | 000281 | Connecticut |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 000281 | Connecticut |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | POOOO2293 | Florida |
Profile Details
| NPI number | 1033104062 |
|---|---|
| LBN Legal business name | Suecof, Larry Alan |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | May 17th, 2018 - about 8 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 | 1033104062 | NPPES |
| Connecticut | Other | 06-1406459 | CORVEL |
| Connecticut | Other | 06-1406459 | CORVEL |
| Connecticut | Other | 06-1406459 | CORVEL |
| Connecticut | Other | 06-1406459 | CORVEL |
| Connecticut | Other | 06-1406459 | CORVEL |
| Connecticut | Other | 06-1406459 | CORVEL |
| Connecticut | Other | 2534362 | CORVEL |
| Connecticut | MEDICAID | 004006805 | CORVEL |
| Connecticut | Other | 06-1406459 | CORVEL |
| Connecticut | Other | 060021 | CORVEL |
| Connecticut | Other | 0600211278 | CORVEL |
| Connecticut | Other | 480000668 | CORVEL |
| Connecticut | Other | 0R3020 | CORVEL |
| Connecticut | Other | 1033104062 | CORVEL |
| Connecticut | MEDICAID | 0358436 | CORVEL |
| Connecticut | Other | 06-1406459 | CORVEL |
| Connecticut | Other | 06-1406459 | CORVEL |
| Connecticut | Other | 0724234 001 | CORVEL |
| Connecticut | Other | P4041219 | CORVEL |
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