Larry C. Deeb, M.D., P.a.

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

ME0036405 Issued in FL

Legal business name

LARRY C. DEEB, M.D., P.A.

Practice address

2804 Remington Green Cir
Suite 1
Tallahassee, FL 32308-1550

Phone

(850) 878-0184

Fax

(850) 216-1537

NPI assigned

Jan 9, 2007

Last updated

Feb 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry C Deeb, M.D.NPI 1497741839

Title

President

Phone

(850) 878-0184

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry Charles Deeb, M.D.

  • Pediatric Endocrinology Physician
  • Tallahassee, FL
  • NPI 1497741839
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1356490619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 REMINGTON GREEN CIR",
            "address_2": "SUITE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323081550",
            "telephone_number": "850-878-0184",
            "fax_number": "850-216-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 REMINGTON GREEN CIR",
            "address_2": "SUITE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323081550",
            "telephone_number": "850-878-0184",
            "fax_number": "850-216-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY C. DEEB, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "DEEB",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-878-0184",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "FL",
            "license": "ME0036405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "P23LJ",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039439400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000241018A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerlenz Naiga Lapaine
• Alyssa L Lapp, MS
• Courtney Larkin
• Isabella Mia Larosa
• Stephen Clinton Larosa, M.D.
• Prathyusha Pamidi Larson, DO
• Taylor Larson, DO
• Thomas M Larson, MPT
• Amy Jenelle Lash, PA-C
• Jason Lash, PA-C

• Pediatric Endocrinology Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Pediatric Endocrinology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.