Individual
DR. LARRY MATSUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1888 HILLVIEW ST, SARASOTA, FL 34239-3605
(941) 917-6260
(941) 917-6266
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
055424
GA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
ME138959
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186509177A
—
GA
05
—
186509177B
—
GA
05
—
186509177D
—
GA
05
—
186509177E
—
GA
05
—
186509177G
—
GA
Enumeration date
08/08/2006
Last updated
01/15/2019
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