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Individual

DR. CHRISTIAN JOHN LARSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1500 SW 1ST AVE, OCALA, FL 34471-6504
(352) 237-0509
(352) 237-9808
Mailing address
3309 SW 34TH CIR, SUITE 101, OCALA, FL 34474-3392
(352) 237-0509
(352) 237-9808

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS8709
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
264792300
FL
01
29058
BCBS
FL
01
592689712
UHC
FL
01
N146227
HLTH EZ WC
FL
01
OS8709
WC
FL
Enumeration date
11/21/2006
Last updated
06/05/2012
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