Mr Larry D Hall Jr, | |
6002 Berryhill Rd, Milton, FL 32570-5062 | |
(850) 626-5150 | |
Not Available |
Full Name | Mr Larry D Hall Jr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 6002 Berryhill Rd, Milton, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851061956 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SA2100X | Clinical Nurse Specialist - Acute Care | 11015472 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Santa Rosa Medical Center | Milton, FL | Hospital |
Baptist Hospital | Pensacola, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Santa Rosa Hb Medical Services Llc | 4284089335 | 31 |
Entity Name | Cardiothoracic & Vascular Surgical Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851403125 PECOS PAC ID: 5395725188 Enrollment ID: O20040722000541 |
Entity Name | Coastal Vascular And Interventional Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285888180 PECOS PAC ID: 1355405549 Enrollment ID: O20090203000504 |
Entity Name | Floridian Hospitalist Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831530385 PECOS PAC ID: 8527297217 Enrollment ID: O20140128001837 |
Entity Name | App Of Florida Ed, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407338932 PECOS PAC ID: 7012252299 Enrollment ID: O20181217000426 |
Entity Name | App Of Florida Hm, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841772316 PECOS PAC ID: 9032457197 Enrollment ID: O20190214002509 |
Entity Name | Santa Rosa Hb Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982384988 PECOS PAC ID: 4284089335 Enrollment ID: O20231010004073 |
Mailing Address | Practice Location Address |
---|---|
Mr Larry D Hall Jr, 5632 Dove Dr, Pace, FL 32571-9569 Ph: (850) 529-9135 | Mr Larry D Hall Jr, 6002 Berryhill Rd, Milton, FL 32570-5062 Ph: (850) 626-5150 |