Active NPI
Larry Don Garland, MD
- MOHS-Micrographic Surgery Physician
- Boca Raton, FL
National Provider Identifier
1053420117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- ME30624
- Practice address
- 1905 Clint Moore Rd Ste 103
Boca Raton, FL 33496-2659 - Phone
- (561) 241-9667
- Fax
- (561) 241-4474
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME30624 | FL | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | ME30624 | FL | Primary |
Addresses
Primary practice location
1905 Clint Moore Rd Ste 103
Boca Raton, FL 33496-2659
Mailing address
2600 Lake Lucien Dr Ste 180
Maitland, FL 32751-7235
Phone (407) 875-2080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME30624 | FL | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1053420117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 LAKE LUCIEN DR STE 180",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517235",
"telephone_number": "407-875-2080",
"fax_number": "407-875-0518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 CLINT MOORE RD STE 103",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334962659",
"telephone_number": "561-241-9667",
"fax_number": "561-241-4474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARLAND",
"first_name": "LARRY",
"middle_name": "DON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME30624",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "FL",
"license": "ME30624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.