Petty, Laurence Milton

Petty, Laurence Milton is an individual health care provider with primary practice located at 8508 Alafia Hills Dr , Plant City FL 33567-3408. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Petty, Laurence Milton can be contacted via phone (813) 650-8600.

Contact Information

Primary practice address
8508 Alafia Hills Dr Plant City FL 33567-3408
Phone: (813) 650-8600
Fax: (813) 650-8664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME0068819 Florida
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X ME0068819 Florida

Profile Details

NPI number 1265655757
LBN Legal business name Petty, Laurence Milton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated May 28th, 2024 - about last year

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 1265655757 NPPES
Florida MEDICAID 255973100

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