Individual
DARLENE CAROL LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
5900 COLLEGE RD, KEY WEST, FL 33040-4342
(305) 294-5531
Mailing address
321 AVENUE F, KEY WEST, FL 33040-5519
(305) 296-0891
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19609
FL
174400000X
Specialist
2218
OR
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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