James, Larry

James, Larry is an sole proprietor health care provider with primary practice located at 777 37Th St Suite B-107, Vero Beach FL 32960-4873. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. James, Larry can be contacted via phone (772) 226-5026.

Contact Information

Primary practice address
777 37Th St Suite B-107 Vero Beach FL 32960-4873
Phone: (772) 226-5026
Fax: (772) 226-7682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101301 Florida

Profile Details

NPI number 1073599841
LBN Legal business name James, Larry
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2005
Last updated Dec 19th, 2013 - about 12 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 1073599841 NPPES
Florida Other Y08XB BCBS

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