Larry L Land
Emergency Physician
3100 E Fletcher Ave
Tampa
, Florida 33613-4613
Larry L Land
Emergency Physician
3100 E Fletcher Ave
Tampa
, Florida 33613-4613
(813) 972-5753
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Larry L Land
- 12479 Telecom Dr
- Temple Terrace, FL
- Zip : 33637-0913
- Fax : (813) 972-5753
- Phone : (813) 972-4199
Second Address
- Larry L Land
- 3100 E Fletcher Ave
- Tampa, FL
- Zip : 33613-4613
- Fax : (813) 972-5753
- Phone : (813) 971-6000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | ME108914 | FL |
National Provider Identifier
| NPI | 1013179456 |
|---|---|
| Provider Name | Larry L Land |
| First Address | Temple Terrace, FL 33637-0913 |
| Second Address | Tampa, FL 33613-4613 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2008 |
| Last Update Date | 18/08/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 003692400 | (05) | FL |
| 14E6D | BCBS OF FLORIDA (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.