Individual
LARRY K CHIDGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-7374
(352) 273-7388
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-7374
(352) 273-7388
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
ME40726
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047027900
—
FL
Enumeration date
06/25/2006
Last updated
06/30/2010
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