RICHARD A LARSEN

FORT MYERS, FL
NPI1144292194
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA0003376)
Enumeration Date2006-02-03
Last Update Date2021-03-29
Business Address
RICHARD A LARSEN PA-C
13778 PLANTATION RD
FORT MYERS, FL 33912-4301
Phone number: 239-343-0454
Mailing Address
RICHARD A LARSEN PA-C
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-0454