Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | PO 1007 | FL |
N | 222Z00000X | Podiatrist | PO 1007 | FL |
N | 213EP1101X | Primary Podiatric Medicine | PO 1007 | FL |
N | 111NR0200X | Radiology | PO 1007 | FL |
N | 213ER0200X | Radiology | PO 1007 | FL |
N | 2081S0010X | Sports Medicine | PO 1007 | FL |
N | 213ES0000X | Sports Medicine | PO 1007 | FL |
Y | 213ES0103X | Foot & Ankle Surgery | PO 1007 | FL |
NPI | 1285634741 |
---|---|
Provider Name | Dr. Larry C Semer |
First Address | Hallandale Beach, FL 33009-5542 |
Second Address | Hallandale Beach, FL 33009-5542 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2005 |
Last Update Date | 18/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T85773 | (02) | FL |