Bishop, Larry S
Bishop, Larry S is an individual health care provider with primary practice located at 7125 Murrell Rd , Melbourne FL 32940-7999. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bishop, Larry S can be contacted via phone (321) 242-8790.Contact Information
Primary practice address
7125 Murrell Rd
Melbourne FL 32940-7999
Phone: (321) 242-8790
Fax: (321) 751-9362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME67730 | Florida |
Profile Details
| NPI number | 1255325049 |
|---|---|
| LBN Legal business name | Bishop, Larry S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Jun 25th, 2020 - about 4 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 | 1255325049 | NPPES |
| Florida | Other | 27194W | MEDICARE |
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