Individual
BRIANNE K. LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-6444
(407) 650-1307
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-6444
(407) 650-1307
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9116914
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9116914
FL
Other
Enumeration date
03/09/2012
Last updated
12/22/2025
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