Individual
DR. LARRY L ERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 10TH ST N STE 1D, SAINT PETERSBURG, FL 33705-1407
(727) 824-7161
(727) 824-7163
Mailing address
620 10TH ST N STE 1D, SAINT PETERSBURG, FL 33705-1407
(727) 824-7161
(727) 824-7163
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35650
KY
208000000X
Pediatrics Physician
Primary
35650
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64012636
—
KY
Enumeration date
04/26/2006
Last updated
01/13/2023
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