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:
Health care specialties
Specialty | Code | License # | 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 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073599841 | NPPES |
Florida | Other | Y08XB | BCBS |
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