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Organization
WILHELM C J LARSEN MD PA
Active
Organization
WILHELM C J LARSEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILHELM CHARLES JOSEPH LARSEN MD (OWNER, PRESIDENT)
(561) 707-4161
Entity
Organization
Contact information
Practice address
351 POTTER RD, WEST PALM BEACH, FL 33405-3621
(561) 707-4161
(561) 908-2604
Mailing address
PO BOX 220688, 3900 HARVERHILL ROAD NORTH, WEST PALM BEACH, FL 33422-0688
(561) 707-4161
(561) 791-2128
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
ME0027507
FL
283Q00000X
Psychiatric Hospital
ME0027507
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0447382
—
FL
Enumeration date
09/19/2014
Last updated
04/18/2016
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