Individual
DR. LARRY EUGENE PEARSON I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5020 WHITMIRE RD, MILTON, FL 32570-8775
(850) 623-0830
(850) 626-1862
Mailing address
5020 WHITMIRE RD, MILTON, FL 32570-8775
(850) 623-0830
(850) 626-1862
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
LICENSURE EXEMPT
FL
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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