Hagaman, Larry David

Hagaman, Larry David is an individual health care provider with primary practice located at 721 W Robertson St Ste 102, Brandon FL 33511-4934. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Hagaman, Larry David can be contacted via phone (813) 684-3707.

Contact Information

Primary practice address
721 W Robertson St Ste 102 Brandon FL 33511-4934
Phone: (813) 684-3707
Fax: (813) 643-2457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA0003049 Florida

Profile Details

NPI number 1578725834
LBN Legal business name Hagaman, Larry David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2008
Last updated Jun 27th, 2008 - about 16 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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