Individual
SCOTT VON LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4571 COLONIAL BLVD, FORT MYERS, FL 33966-1156
(239) 333-0772
(239) 244-2049
Mailing address
4571 COLONIAL BLVD, FORT MYERS, FL 33966-1156
(239) 333-0772
(239) 244-2049
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
145087
FL
Other
Enumeration date
04/02/2009
Last updated
06/16/2020
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