Individual
DR. BEN L LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5680 WAYSIDE DR, SANFORD, FL 32771-8625
(407) 333-3937
(407) 333-4500
Mailing address
5680 WAYSIDE DR, SANFORD, FL 32771-8625
(407) 333-3937
(407) 333-4500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3014
FL
Other
Enumeration date
09/23/2006
Last updated
09/08/2010
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