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Individual

DR. LARRY GANDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7154 MEDICAL CENTER DR, SPRING HILL, FL 34608-1329
(352) 596-1926
(352) 597-2154
Mailing address
PO BOX 102222, ATTN: CREDENTIAL DEPT, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME51803
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022168100
FL
Enumeration date
03/27/2006
Last updated
03/31/2025
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