Provider Demographics
NPI:1447567086
Name:MASARSKY, LARRY (DC)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:
Last Name:MASARSKY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 NE 25TH ST
Mailing Address - Street 2:STE. 103
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-4845
Mailing Address - Country:US
Mailing Address - Phone:305-770-6393
Mailing Address - Fax:
Practice Address - Street 1:162 NE 25TH ST
Practice Address - Street 2:STE. 103
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-4845
Practice Address - Country:US
Practice Address - Phone:305-770-6393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-02
Last Update Date:2020-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011763111N00000X
FLCH 10618111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor