Individual provider Active NPI

Paul Seth Larson, ARNP-FNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1619483799
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9352380 Issued in FL
Practice address
6919 N Dale Mabry Hwy Ste 125
Tampa, FL 33614-3972
Phone
(813) 497-9661
Fax
(813) 615-8468
NPI assigned
Dec 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9352380 FL Primary

Addresses

Primary practice location

6919 N Dale Mabry Hwy Ste 125
Tampa, FL 33614-3972

Mailing address

3325 Bayshore Blvd Unit D21
Tampa, FL 33629-8859
Phone (813) 352-1354

Other practice location 1

3001 W Mlk Blvd
Tampa, FL 33607-6307
Phone (813) 470-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220419000128 FL Practitioner - Nurse Practitioner 0042607293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

3000 Medical Park Dr
Suite 320
Tampa, FL 33613-4681
Phone (813) 910-0027

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 615-7075

6919 N Dale Mabry Hwy
Suite 200
Tampa, FL 33614-3972
Phone (813) 933-3324

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Florida Inc CurrentSince Feb 1, 2022 Accepting new patients
Florida Hospital Physician Group Inc Family CurrentSince Jun 19, 2023 Accepting new patients

Locations

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

6919 N Dale Mabry Hwy
Ste 125
Tampa, FL 33614
Phone (813) 463-8009

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: plarson1410497@adventhealth.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1619483799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 BAYSHORE BLVD UNIT D21",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298859",
            "telephone_number": "813-352-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 N DALE MABRY HWY STE 125",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143972",
            "telephone_number": "813-497-9661",
            "fax_number": "813-615-8468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 W Mlk Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076307",
            "country_code": "US",
            "telephone_number": "813-470-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "PAUL",
        "middle_name": "SETH",
        "name_prefix": "Mr.",
        "credential": "ARNP-FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-27",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9352380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.