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Contact Information

LARRY S BISHOP, MD
7125 MURRELL RD
MELBOURNE, FL32940-7999
 Phone: 321-242-8790
 Fax: 321-751-9362
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for LARRY S BISHOP · (Male)

NPI Number 1255325049
Status Active
Credentials MD
Entity Individual
Enumeration date 09/07/2005
Last updated 06/25/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME67730
  • FL Other 27194W MEDICARE
Hospital affiliation(s) Not Available
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.

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