LARRY CHARLES DEEB M.D. NPI 1497741839

NPI Information

  • NPI: 1497741839
  • Provider Name: LARRY CHARLES DEEB, M.D.
  • Classification: Pediatrics - 2080P0205X
  • Specialization: Pediatric Endocrinology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2633 CENTENNIAL BLVD STE 100
    TALLAHASSEE, FL
    ZIP 32308
  • Phone: (850) 431-5404

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NPI Details

Larry Charles Deeb, M.D. is a pediatric endocrinology pediatrics in Tallahassee, FL with 53 years of experience. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. Larry Charles Deeb, M.D. NPI is 1497741839. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1973

The provider's business location address is:

2633 CENTENNIAL BLVD STE 100
TALLAHASSEE, FL
ZIP 32308-606
Phone: (850) 431-5404

The NPI 1497741839 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2005 and was last updated on 4/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0205XPediatricsPediatric EndocrinologyME 36405FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1039439400MEDICAIDFLORIDA
237276OTHERFLORIDABLUECROSS BLUE SHIELD
300241018CMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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