Brown, Larry Garland

Brown, Larry Garland is an individual health care provider with primary practice located at 2001 College St , Jacksonville FL 32204-3703. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brown, Larry Garland can be contacted via phone (904) 355-5555.

Contact Information

Primary practice address
2001 College St Jacksonville FL 32204-3703
Phone: (904) 355-5555
Fax: (904) 355-9966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3690 Florida

Profile Details

NPI number 1952304032
LBN Legal business name Brown, Larry Garland
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Nov 22nd, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952304032 NPPES
Florida Other 1205295 AETNA HMO
Florida MEDICAID 621015500 AETNA HMO
Florida Other P00272233 AETNA HMO
Florida Other 2201820 AETNA HMO
Florida Other 28563 AETNA HMO
Florida Other 299520 AETNA HMO
Florida Other 1018387 AETNA HMO
Florida Other 5457809 AETNA HMO

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