Organization
LARRY C. DEEB, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY C DEEB M.D. (PRESIDENT)
(850) 878-0184
Entity
Organization
Contact information
Practice address
2804 REMINGTON GREEN CIR, SUITE 1, TALLAHASSEE, FL 32308-1550
(850) 878-0184
(850) 216-1537
Mailing address
2804 REMINGTON GREEN CIR, SUITE 1, TALLAHASSEE, FL 32308-1550
(850) 878-0184
(850) 216-1537
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
ME0036405
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000241018A
—
GA
05
—
039439400
—
FL
01
—
P23LJ
FLORIDA BLUE
FL
Enumeration date
01/09/2007
Last updated
02/22/2016
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