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Organization

LARRY J. KIPP DPM, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY J KIPP (PRESIDENT)
(727) 868-2128
Entity
Organization

Contact information

Practice address
5145 DEER PARK DR, NEW PORT RICHEY, FL 34653-7013
(727) 868-2128
(727) 868-7491
Mailing address
5145 DEER PARK DR, NEW PORT RICHEY, FL 34653-7013
(727) 809-1555
(727) 843-8033

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P0000655
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
406480172
MEDICARE RAILROAD
FL
Enumeration date
08/19/2008
Last updated
10/05/2022
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