Matsumoto, Larry

Matsumoto, Larry is an individual health care provider with primary practice located at 1888 Hillview St , Sarasota FL 34239-3605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Matsumoto, Larry can be contacted via phone (941) 917-6260.

Contact Information

Primary practice address
1888 Hillview St Sarasota FL 34239-3605
Phone: (941) 917-6260
Fax: (941) 917-6266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 055424 Georgia
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X ME138959 Florida

Profile Details

NPI number 1427067248
LBN Legal business name Matsumoto, Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jan 15th, 2019 - about 5 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 1427067248 NPPES
Georgia MEDICAID 186509177G
Georgia MEDICAID 186509177A
Georgia MEDICAID 186509177B
Georgia MEDICAID 186509177D
Georgia MEDICAID 186509177E

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