Individual
MR. ROY WALTER LARSEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2031 KENDIS STREET, PORT CHARLOTTE, FL 33948
(941) 369-0799
Mailing address
2031 KENDIS STREET, PORT CHARLOTTE, FL 33948
(941) 889-7447
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
FL
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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