| Mr Larry Robert Little, APRN | |
|
Your Health Of Fl, Llc, 1301 Plantation Island Dr. Unite 303b, St. Augustine, FL 32080 | |
| (800) 491-0909 | |
| Not Available |
| Full Name | Mr Larry Robert Little |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Primary Care |
| Location | Your Health Of Fl, Llc, St. Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134504079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | ARNP 9169328 (Florida) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | APRN9169328 (Florida) | Primary |
| Entity Name | Legacy Family Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245988302 PECOS PAC ID: 3678969821 Enrollment ID: O20220415000333 |
| Entity Name | Your Health Primary Care Of Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659114577 PECOS PAC ID: 0143754135 Enrollment ID: O20241113003454 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Larry Robert Little, APRN Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203 Ph: (800) 491-0909 | Mr Larry Robert Little, APRN Your Health Of Fl, Llc, 1301 Plantation Island Dr. Unite 303b, St. Augustine, FL 32080 Ph: (800) 491-0909 |
Megan Elizabeth Green, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Your Health Org. Of Florida, 1301 Plantation Island Dr. Unit 303b, St. Augustine, FL 32080 Phone: 800-491-0909 Fax: 855-866-8710 | |
Karen Stover, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Health Park Blvd, St. Augustine, FL 32086 Phone: 904-826-3469 Fax: 904-808-4608 | |
Shameika Favors-stalling, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Your Health Org. Of Florida, 1301 Plantation Island Dr. Unit 303b, St. Augustine, FL 32080 Phone: 800-491-0909 | |
Traci Johnson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2703 North Ponce Deleon Blvd, St. Augustine, FL 32084 Phone: 904-824-8328 | |
Ms. Rosemary Bates, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1955 Ponce De Leon Blvd, St. Augustine, FL 32086 Phone: 904-829-8954 | |
Maryann Hickey, RN, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2703 Ponce Deleon, Cvs Minute Clinic, St. Augustine, FL 32084 Phone: 186-638-9272 Fax: 401-652-9787 |