Condra, Larry
Condra, Larry is an sole proprietor health care provider with primary practice located at 1601 Sw Archer Road , Gainesville FL 32608. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Condra, Larry can be contacted via phone (352) 371-1611.Contact Information
Primary practice address
1601 Sw Archer Road
Gainesville FL 32608
Phone: (352) 371-1611
Fax: (352) 271-4574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1290 | Florida |
Profile Details
| NPI number | 1447356738 |
|---|---|
| LBN Legal business name | Condra, Larry |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 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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