Individual
LARRY BAUMGARTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 PASEO REYES DR, ST AUGUSTINE, FL 32095-8464
(727) 946-1346
Mailing address
99 KING ST UNIT 186, SAINT AUGUSTINE, FL 32085-7708
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
4370
MN
106H00000X
Marriage & Family Therapist
Primary
IMT2376
FL
106H00000X
Marriage & Family Therapist
Primary
MT3602
FL
Other
Enumeration date
05/06/2016
Last updated
05/13/2026
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