Fox, Larry A.

Fox, Larry A. is an individual health care provider with primary practice located at 807 Childrens Way , Jacksonville FL 32207-8426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as his primary health care specialty. Fox, Larry A. can be contacted via phone (904) 390-3600.

Contact Information

Primary practice address
807 Childrens Way Jacksonville FL 32207-8426
Fax: (904) 390-3429
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X ME77978 Florida

Profile Details

NPI number 1639284615
LBN Legal business name Fox, Larry A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Sep 15th, 2011 - about 13 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 1639284615 NPPES
Georgia MEDICAID 000700961E
Georgia MEDICAID 256348700

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