Free, Lawrence Robert

Free, Lawrence Robert is an sole proprietor health care provider with primary practice located at 500 Tyrone Blvd N , St Petersburg FL 33710-7125. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Free, Lawrence Robert can be contacted via phone (727) 345-7427.

Contact Information

Primary practice address
500 Tyrone Blvd N St Petersburg FL 33710-7125
Fax: (727) 347-1172
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X CH0001688 Florida

Profile Details

NPI number 1316995764
LBN Legal business name Free, Lawrence Robert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Dec 12th, 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 1316995764 NPPES
Florida Other CH1688 STATE LICENSE NUMBER
Florida MEDICAID 050222700 STATE LICENSE NUMBER

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