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Wayne Larson, MD
Student in an Organized Health Care Education/Training Program in Hollywood, Florida
NPI 1770960544

Wayne Larson is a Student in an Organized Health Care Education/Training Program based in Miramar, FL. Wayne Larson practices in Hollywood, FL and has the professional credentials of MD. The NPI Number for Wayne Larson is 1770960544 and holds a License No. ME148416 (Florida).

The current practice location address for Wayne Larson is 3501 Johnson St Fl 2, Hollywood, FL and can be reached out via phone at 954-265-3441 and via fax at 954-985-2294.

Location: 3501 Johnson St Fl 2, Hollywood, FL, 33025-3925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770960544
Provider Name
Wayne Larson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3501 Johnson St Fl 2, Hollywood, FL, 33025-3925
Phone Number
954-265-3441
Fax Number
954-985-2294
Provider Enumeration Date
04/30/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110682900 05 FL
institution
Provider Business Practice Location Address Details
Address
3501 Johnson St Fl 2
City
Hollywood
State
Florida
Zip
33021-5421
Phone Number
954-265-3441
Fax Number
954-985-2294
person
Provider Business Mailing Address Details
Address
3501 Johnson St Fl 2
City
Hollywood
State
Florida
Zip
33021-5421
Phone Number
954-265-3441
Fax Number
954-985-2294
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
01081854A (Indiana)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
ME148416 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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