Organization
OCULOPLASTICS OF SOUTHWEST FLORIDA, DEAN W. LARSON, MD PA
Active
Organization
OCULOPLASTICS OF SOUTHWEST FLORIDA, DEAN W. LARSON, MD PA
Active
Other names
Eyelid Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN WILLIAM LARSON MD (PRESIDENT)
(239) 481-9995
Entity
Organization
Contact information
Practice address
15620 NEW HAMPSHIRE CT, FORT MYERS, FL 33908-4168
(239) 481-9995
(239) 481-9745
Mailing address
15620 NEW HAMPSHIRE CT, FORT MYERS, FL 33908-4168
(239) 481-9995
(239) 481-9745
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC9277
RAILROAD MEDICARE
FL
Enumeration date
09/08/2005
Last updated
09/11/2025
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