Canton, Larry D
Canton, Larry D is an sole proprietor health care provider with primary practice located at 2888 Roosevelt Blvd , Clearwater FL 33760-1923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Canton, Larry D can be contacted via phone (727) 524-7988.Contact Information
Primary practice address
2888 Roosevelt Blvd
Clearwater FL 33760-1923
Phone: (727) 524-7988
Fax: (727) 524-4942
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS4904 | Florida |
Profile Details
NPI number | 1942277629 |
---|---|
LBN Legal business name | Canton, Larry D |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 2nd, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1942277629 | NPPES |
Florida | Other | OS4904 | STATE LICENSE |
Florida | Other | 122701 | STATE LICENSE |
Florida | Other | 82815 | STATE LICENSE |
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