Individual
LARRY CHARLES DEEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2633 CENTENNIAL BLVD STE 100, TALLAHASSEE, FL 32308-0606
(850) 431-5404
Mailing address
2633 CENTENNIAL BLVD, SUITE 100, TALLAHASSEE, FL 32309-0585
(850) 877-7387
(850) 656-3376
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
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