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Individual
RICHARD A LARSEN
Active
Individual
RICHARD A LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0003376
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014924700
—
FL
Enumeration date
02/03/2006
Last updated
03/29/2021
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