Provider Demographics
NPI:1306872395
Name:LARKIN, THOMAS LEONARD (PA-C)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:LEONARD
Last Name:LARKIN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:16186 75TH AVE N
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33418-7440
Mailing Address - Country:US
Mailing Address - Phone:561-745-2980
Mailing Address - Fax:
Practice Address - Street 1:1002 S OLD DIXIE HWY
Practice Address - Street 2:SUITE 104
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7202
Practice Address - Country:US
Practice Address - Phone:561-747-5885
Practice Address - Fax:561-743-5456
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA 3318363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical