Provider Demographics
NPI:1407853831
Name:ARONBERG, LARRY A (DPM)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:A
Last Name:ARONBERG
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:DR
Other - First Name:LARRY
Other - Middle Name:A
Other - Last Name:ARONBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:31 S FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-3837
Mailing Address - Country:US
Mailing Address - Phone:561-586-3100
Mailing Address - Fax:561-586-4400
Practice Address - Street 1:31 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-3837
Practice Address - Country:US
Practice Address - Phone:561-586-3100
Practice Address - Fax:561-586-4400
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-30
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 1356213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL87735XOtherMEDICARE
FL87735XOtherMEDICARE