Individual
MR. JOSHUA MICHAEL LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 635-5801
Mailing address
10483 LAXER CAY LOOP, SAN ANTONIO, FL 33576-7292
(813) 395-1340
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
9342529
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11019540
FL
Other
Enumeration date
01/24/2022
Last updated
06/19/2023
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