Healthcare Provider Details

I. General information

NPI: 1023069556
Provider Name (Legal Business Name): LARRY H. KUHN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 09/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5105 E COLONIAL DR
ORLANDO FL
32803-4385
US

IV. Provider business mailing address

5105 E COLONIAL DR
ORLANDO FL
32803-4385
US

V. Phone/Fax

Practice location:
  • Phone: 407-440-2922
  • Fax: 407-440-2963
Mailing address:
  • Phone: 407-440-2922
  • Fax: 407-440-2963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME 65794
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: