Most Relevant Information
Provider Data
| NPI Number: | 1003078155 |
| Provider Name: | ROBERT M LARSON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 071056 |
Most Important Dates
| Enumeration Date: | 06/30/2008 |
| Last Updated: | 11/28/2015 |
Provider Practice Location
10000 BAY PINES BLVD
BAY PINES VAHCS
BAY PINES
FL
33744
Practice Location Phone/Fax
| Phone: | 7273986661 |
| Fax: | 7273989567 |
Provider Mailing Location
10000 BAY PINES BLVD
BAY PINES VAHCS
BAY PINES
FL
33744
Provider Mailing Phone/Fax
| Phone: | 7273986661 |
| Fax: | 7273989567 |