Individual
DR. LAURENCE MILTON PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8508 ALAFIA HILLS DR, PLANT CITY, FL 33567-3408
(813) 650-8600
(813) 650-8664
Mailing address
8508 ALAFIA HILLS DR, PLANT CITY, FL 33567-3408
(813) 650-8600
(813) 650-8664
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME0068819
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
ME0068819
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255973100
—
FL
Enumeration date
04/11/2007
Last updated
05/28/2024
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