Individual
MR. LARRY SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10476 131ST ST, LARGO, FL 33774-4734
(727) 593-5569
(727) 593-3140
Mailing address
10476 131ST ST, LARGO, FL 33774-4734
(727) 593-5569
(727) 593-3140
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
8317
FL
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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