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NPI Lookup from the NPI Registry — National Provider Identifier Database

LARRY A SUECOF, DPM – NPI #1033104062
Surgery, Foot & Ankle

LARRY SUECOF graduated 1979 from PENNSYLVANIA COLLEGE OF PODIATRIC MEDICINE.


Contact Information

LARRY A SUECOF, DPM
3651 LAKE CENTER DR
MOUNT DORA, FL32757-2364
 Medical school:
PENNSYLVANIA COLLEGE OF PODIATRIC MEDICINE
Graduated 1979

 Phone: 352-385-9156
 Fax: 352-385-9159
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
Indicates primary specialty
Edit contact information

NPI Profile & details for LARRY A SUECOF · (Male)

NPI Number 1033104062
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/15/2005
Last updated 11/18/2014 - About 3 months ago
Sole proprietor 1 No
Identifiers
CT License # 000281
FL License # POOOO2293
CT Medicaid 004006805
MA Medicaid 0358436
Medicare (Unspecified) 480000668
FL Medicare PIN AK417Z
Medicare UPIN T22674
CT Other 2534362 AETNA
CT Other 1033104062 ANTHEM BCBS
CT Other 0724234 001 CIGNA
CT Other 06-1406459 COLONIAL COOPERATIVE CARE
CT Other 060021 CONNECTICARE
CT Other 0600211278 CONNECTICARE
CT Other 06-1406459 CORVEL
CT Other 06-1406459 FOCUS
CT Other 06-1406459 GREAT WEST HEALTHCARE
CT Other 0R3020 HEALTH NET
CT Other 06-1406459 HMC, PPO
CT Other 06-1406459 MULTIPLAN
CT Other 06-1406459 NORTHEAST HEALTH DIRECT
CT Other P4041219 OXFORD
CT Other 06-1406459 PRIVATE HEALTHCARE SYSTEM
CT Other 06-1406459 UNITED HEALTHCARE
Hospital affiliation(s)
  • FLORIDA HOSPITAL WATERMAN - (Acute Care)
    1000 WATERMAN WAY
    TAVARES, FL 32778
  • HARTFORD HOSPITAL - (Acute Care)
    80 SEYMOUR STREET
    HARTFORD, CT 06102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews on LARRY A SUECOF

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  • 03/02/2014 - 5 Stars (5 out of 5) by SUSAN JUDD Report Abuse
    Review for LARRY A SUECOF

    he is the best around kind and answers all your questions i was having trouble walking and now can walk better now

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