Individual
LARRY WAYNE HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4140 WOODLANDS PKWY, PALM HARBOR, FL 34685-3494
(727) 953-9041
(727) 953-9043
Mailing address
4140 WOODLANDS PKWY, PALM HARBOR, FL 34685-3494
(727) 953-9041
(727) 953-9043
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME61926
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370538200
—
FL
01
—
AL246
MEDICARE PTAN
FL
Enumeration date
12/06/2005
Last updated
05/05/2020
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