Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY KEVIN MAYNARD
ActiveLARRY KEVIN MAYNARD is a Contractor healthcare provider located in OLD TOWN, Florida. NPI 1629479712 is currently active in the NPPES registry. Verify at CMS.
Contractor · OLD TOWN, FL
Registration Details
- NPI Number
- 1629479712
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 9, 2014 (11.965575132018 yrs)
- Last Updated
- Sep 9, 2014
Practice Information
- Address
-
80 NE 758TH STOLD TOWN, FL, 326809678Browse FL providers · Browse ZIP 32680
- Phone
- 3525421635
- Fax
- 3525421634
- Primary Specialty
-
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.