Individual
LARRY L HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2452 MAHAN DR, SUITE 101, TALLAHASSEE, FL 32308-5377
(850) 877-2126
(850) 878-5190
Mailing address
2452 MAHAN DR, SUITE 101, TALLAHASSEE, FL 32308-5377
(850) 671-0909
(850) 878-5190
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME74865
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880019A
—
GA
05
—
254290100
—
FL
01
—
42973
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
02/14/2006
Last updated
03/29/2016
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