Larry Kevin Maynard
Contractor · Old Town, FL
NPI number
1629479712
Practice location
80 NE 758TH StOld Town, FL 32680-9678
- Phone
- (352) 542-1635
- Fax
- (352) 542-1634
NPI record
- NPI
- 1629479712
- Entity type
- Individual (Type 1)
- Enumeration date
- September 9, 2014
- Last updated
- September 9, 2014
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
— | — |
About Larry Maynard
Larry Kevin Maynard is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 80 NE 758TH St, Old Town, FL 32680-9678. The NPI number 1629479712 was assigned on September 9, 2014 and the record was last updated on September 9, 2014.
Frequently asked questions
What is the NPI number of Larry Kevin Maynard?
The NPI number is 1629479712.
What is the phone number of Larry Maynard?
The phone number listed for the practice location is (352) 542-1635.
Where is Larry Maynard located?
80 NE 758TH St, Old Town, FL 32680-9678.
What is the taxonomy code for Larry Maynard?
The primary taxonomy code is 171W00000X – Contractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.