Provider Demographics
NPI:1225020969
Name:LARKIN, MARILYN KAY (AUD)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:KAY
Last Name:LARKIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3829 BERMUDA CT
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-8123
Mailing Address - Country:US
Mailing Address - Phone:941-637-3950
Mailing Address - Fax:941-505-0022
Practice Address - Street 1:100 MADRID BLVD
Practice Address - Street 2:STE 315
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-7968
Practice Address - Country:US
Practice Address - Phone:941-505-0400
Practice Address - Fax:941-505-0022
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY224237600000X
231H00000X, 231HA2400X, 231HA2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
S1470OtherBLUE CROSS BLUE SHIELD
T0912OtherBCBS
S1470ZMedicare ID - Type Unspecified
S22884Medicare UPIN