Larry H Wilf
Nuclear Medicine Specialist
693 Ponte Vedra Blvd Unit A201
Ponte Vedra Beach
, Florida 32082-2989
Larry H Wilf
Nuclear Medicine Specialist
693 Ponte Vedra Blvd Unit A201
Ponte Vedra Beach
, Florida 32082-2989
(239) 274-8200
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Larry H Wilf
- 4371 Veronica S Shoemaker Blvd
- Fort Myers, FL
- Zip : 33916-2216
- Phone : (239) 274-8200
Second Address
- Larry H Wilf
- 693 Ponte Vedra Blvd Unit A201
- Ponte Vedra Beach, FL
- Zip : 32082-2989
- Phone : (904) 200-2409
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine Specialist | ME50946 | FL |
National Provider Identifier
| NPI | 1508824608 |
|---|---|
| Provider Name | Larry H Wilf |
| First Address | Fort Myers, FL 33916-2216 |
| Second Address | Ponte Vedra Beach, FL 32082-2989 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2006 |
| Last Update Date | 11/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 006250600 | (05) | FL |
| 03743 | BCBS (01) | FL |
| 1119092 | WELLCARE (01) | FL |
| 1226050 | CIGNA (01) | FL |
| 258093400 | (05) | FL |
| 301208 | AVMED (01) | FL |
| 5018006 | AETNA (01) | FL |
| D20839 | (02) | FL |
| P00190196 | MEDICARE RAILROAD (01) | FL |
| P00714011 | RR MEDICARE (01) | FL |
| P01451893 | RR MEDICARE (01) | FL |
| P01596525 | RR MEDICARE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.