Individual
LARRY CHARLES DEEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
ME 36405
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00241018C
—
GA
05
—
039439400
—
FL
01
—
37276
BLUECROSS BLUE SHIELD
FL
Enumeration date
09/21/2005
Last updated
04/13/2020
Update your record
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