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
Fax: (727) 524-4942
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942277629 NPPES
Florida Other OS4904 STATE LICENSE
Florida Other 122701 STATE LICENSE
Florida Other 82815 STATE LICENSE

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