Leyderman, Larry

Leyderman, Larry is an individual health care provider with primary practice located at 1324 Lakeland Hills Blvd , Lakeland FL 33805-4543. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Leyderman, Larry can be contacted via phone (863) 687-1321.

Contact Information

Primary practice address
1324 Lakeland Hills Blvd Lakeland FL 33805-4543
Phone: (863) 687-1321
Fax: (863) 284-1730
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9114483 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085004191 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9114483 Florida

Profile Details

NPI number 1609143270
LBN Legal business name Leyderman, Larry
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2011
Last updated Sep 18th, 2022 - about 2 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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