Individual
LARRY KEVIN HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2010 THONOTOSASSA RD, PLANT CITY, FL 33563-2941
(813) 752-0757
Mailing address
2010 THONOTOSASSA RD, PLANT CITY, FL 33563-2941
(813) 752-0757
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME147922
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2017
Last updated
03/14/2022
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