Larry Kevin Heard
Dermatology in Plant City, FL. Individual provider (NPI-1).
NPI number1942735626
StatusActive
Last updated in NPPESMar 14, 2022
Details
- NPI
- 1942735626
- Entity type
- Individual (NPI-1)
- Name
- Larry Kevin Heard
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 1, 2017
- Certification date
- Feb 23, 2022
- Last updated
- Mar 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | ME147922 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2010 Thonotosassa RdPlant City, FL 33563-2941
Phone 813-752-0757
Mailing address
2010 Thonotosassa RdPlant City, FL 33563-2941
Phone 813-752-0757
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