Individual
DR. SHAWN DAVID LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8825
(352) 273-8772
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-8825
(352) 273-8772
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01061190A
IN
2086S0120X
Pediatric Surgery Physician
Primary
ME109818
FL
Other
Enumeration date
10/03/2006
Last updated
09/08/2011
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