Black, Larry
Black, Larry is an sole proprietor health care provider with primary practice located at 10000 Bay Pines Blvd , Bay Pines FL 33744. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Black, Larry can be contacted via phone (727) 398-6661.Contact Information
Primary practice address
10000 Bay Pines Blvd
Bay Pines FL 33744
Phone: (727) 398-6661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | Florida |
Profile Details
| NPI number | 1790437234 |
|---|---|
| LBN Legal business name | Black, Larry |
| Credentials | BCC-H/PC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2022 |
| Last updated | Jan 26th, 2022 - about 2 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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