Provider Demographics
NPI:1285634741
Name:SEMER, LARRY C (DPM)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:C
Last Name:SEMER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 E HALLANDALE BEACH BLVD
Mailing Address - Street 2:SUITE A.
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-5542
Mailing Address - Country:US
Mailing Address - Phone:954-458-3668
Mailing Address - Fax:954-458-3109
Practice Address - Street 1:223 E HALLANDALE BEACH BLVD
Practice Address - Street 2:SUITE A.
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-5542
Practice Address - Country:US
Practice Address - Phone:954-458-3668
Practice Address - Fax:954-458-3109
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-27
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 1007213E00000X, 213EP1101X, 213ER0200X, 213ES0000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ER0200XPodiatric Medicine & Surgery Service ProvidersPodiatristRadiology
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT85773Medicare UPIN
FL87642XMedicare PIN
FL4921310002Medicare NSC