Organization
LARRY J SAULS, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY J SAULS M.D. (PRESIDENT)
(850) 433-7840
Entity
Organization
Contact information
Practice address
2606 YATES AVE, PENSACOLA, FL 32503-4982
(850) 433-7840
Mailing address
PO BOX 9416, PENSACOLA, FL 32513-9416
(850) 433-7840
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0017405
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17299
FLORIDA BLUE SHIELD
FL
01
—
59020229
ALABAMA BLUE SHIELD ID #
FL
Enumeration date
02/11/2006
Last updated
07/11/2007
Update your record
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