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Individual

LARRY E SCHUTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
6001 VINELAND RD, SUITE 116, ORLANDO, FL 32819-7829
(407) 351-4962
(407) 345-9765
Mailing address
6703 CACTUS CT, ORLANDO, FL 32819-4501
(407) 351-4962

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PY0003761
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
119589545989
HUMANA PROVIDER NUMBER000
01
2256896
AETNA PROVIDER NUMBER
01
9389583
PHCS PROVIDER NUMBER
Enumeration date
02/22/2007
Last updated
03/14/2008
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