Individual
BIANCA MICHELLE LARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2501 N ORANGE AVE STE 381, ORLANDO, FL 32804-4623
(407) 609-9076
(407) 609-9077
Mailing address
16512 LAKE HEATHER DR, TAMPA, FL 33618-1165
(786) 417-9542
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
03/27/2025
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