LARRY CHARLES DEEB (NPI# 1497741839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497741839 |
| Entity Type | Individual |
| Full Name | LARRY CHARLES DEEB |
| Other Name | LARRY C. DEEB |
| Credential | M.D. |
| Practice Address |
2633 Centennial Blvd Ste 100 Tallahassee FL 32308-0606 |
| Mailing Address |
2633 Centennial Blvd Suite 100 Tallahassee FL 32309-0585 |
| Practice Telephone | 8504315404 |
| Mailing Telephone | 8508777387 |
| Mailing Fax Number | 8506563376 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2020-04-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
ME 36405 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 039439400 | 05 | |
| FL | BLUECROSS BLUE SHIELD | 37276 | 01 |
| GA | 00241018C | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2804 Remington Green Cir, Suite 1, Tallahassee, FL 323088707 | 8508780184 | 8502161537 |
| Street Address |
2633 CENTENNIAL BLVD STE 100 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-0606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467012393 | Tallahassee Memorial Healthcare Inc | Clinic/Center | 2633 Centennial Blvd Ste 100, Tallahassee, FL 32308-0606 | 2019-06-13 |
| 1356825715 | Gina Marie Hedrick | Dietitian, Registered | 2633 Centennial Blvd Ste 100, Tallahassee, FL 32308-0606 | 2018-09-21 |
| 1417431875 | Jessica Michaloski Jameson | Dietitian, Registered | 2633 Centennial Blvd Ste 100, Tallahassee, FL 32308-0606 | 2018-09-21 |
| 1659785756 | Antoni Ramon Kafrouni Gerges | Internal Medicine | 2633 Centennial Blvd Ste 100, Tallahassee, FL 32308 | 2014-06-17 |
| 1790040160 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 2633 Centennial Blvd Ste 100, Tallahassee, FL 32308-0606 | 2012-07-11 |
| 1811251200 | Mohamad Sirri Tarazi | Internal Medicine | 2633 Centennial Blvd Ste 100, Tallahassee, FL 32308 | 2012-06-29 |
| 1922388875 | Tallahassee Memorial Healthcare Inc | Family Medicine | 2633 Centennial Blvd Ste 100, Tallahassee, FL 32308 | 2011-08-24 |
| 1205097565 | Lance Micheel Freeman | Internal Medicine | 2633 Centennial Blvd Ste 100, Tallahassee, FL 32308-0606 | 2008-06-19 |
| 1114976974 | Tallahassee Memorial Healthcare Inc | Clinic/Center | 2633 Centennial Blvd Ste 100, Tallahassee, FL 32308-0606 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134144272 | Nancy M. Wright | Pediatrics | 1804 Miccosukee Commons Dr, Suite 210, Tallahassee, FL 32308-5470 | 2006-07-12 |
| 1508128729 | Nancy Wright Md P.a. | Pediatrics | 1804 Miccosukee Commons Dr, Suite 210, Tallahassee, FL 32308-5470 | 2012-06-13 |
| 1356490619 | Larry C. Deeb, M.d., P.a. | Pediatrics | 2804 Remington Green Cir, Suite 1, Tallahassee, FL 32308-1550 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891359998 | Kids and Families Medical Clinic LLC | Pediatrics | 12086 Fort Caroline Rd Ste 404, Jacksonville, FL 32225-7640 | 2019-04-24 |
| 1942438767 | Lisa Erin Kenigsberg Fechter | Pediatrics | 9600 W Sample Rd Ste 505, Coral Springs, FL 33065-4037 | 2009-07-01 |
| 1063671212 | Miladys Miriam Palau Collazo | Pediatrics | 9401 Sw Discovery Way Ste 102, Port Saint Lucie, FL 34987-2381 | 2008-06-03 |
| 1043417421 | Omar Dean Hudson | Pediatrics | 1223 Gateway Dr Ste 1g, Melbourne, FL 32901-2607 | 2007-06-29 |
| 1790987964 | Konda Mohan Reddy | Pediatrics | 1801 Lee Rd Ste 170, Winter Park, FL 32789 | 2007-06-01 |
| 1477764207 | Sissi Cossio | Pediatrics | 7605 N State Rd 7, Parkland, FL 33067 | 2007-05-24 |
| 1588701379 | Samuel M Freedman | Pediatrics | 601 N Flamingo Rd Ste 207, Pembroke Pines, FL 33028-1009 | 2007-01-31 |
| 1326116443 | Kelly J Seiler | Pediatrics | 10383 Hagen Ranch Rd Ste 200, Boynton Beach, FL 33437-3782 | 2006-11-30 |
| 1447324744 | Luis E Gonzalez-mendoza | Pediatrics | 3100 Sw 62nd Ave Ste 122, Miami, FL 33155-3009 | 2006-11-20 |
| 1538240320 | Amid Habib | Pediatrics | 789 Douglas Ave, Suite 137, Altamonte Springs, FL 32714 | 2006-10-18 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.