Organization Active NPI

Larry Shulruff MD PA

  • Specialist
  • Hollywood, FL
National Provider Identifier
1003094095
Registry record updated Oct 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME47415 Issued in FL
Legal business name
LARRY SHULRUFF MD PA
Practice address
3700 Washington St
Suite 401
Hollywood, FL 33021-8256
Phone
(954) 983-6171
Fax
(954) 989-3711
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Larry Howard Shulruff, MD
Title
Dr.
Phone
(954) 983-6171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME47415 FL Primary

Addresses

Primary practice location

3700 Washington St
Suite 401
Hollywood, FL 33021-8256

Mailing address

10120 NW 7TH St
Plantation, FL 33324-1053
Phone (954) 452-7874

National Provider Directory

National Provider Directory

Locations

3700 Washington St
Ste 401
Hollywood, FL 33021
Phone (954) 955-6622

4020 Sheridan St
Ste B
Hollywood, FL 33021
Phone (954) 962-6382

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255305600000",
    "number": "1003094095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 NW 7TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241053",
            "telephone_number": "954-452-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST",
            "address_2": "SUITE 401",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218256",
            "telephone_number": "954-983-6171",
            "fax_number": "954-989-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY SHULRUFF MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2009-10-12",
        "status": "A",
        "authorized_official_last_name": "SHULRUFF",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "954-983-6171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME47415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.