| Doctor Name: | LARRY L LAND |
| NPI Number: | 1013179456 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | |
| Business Practice Address: | 3100 E Fletcher Ave Tampa, FL - 336134613 |
| Business Phone Number: | 8139716000 |
| Business Fax Number: | 8139725753 |
| Mailing Address: | 12479 Telecom Dr, TEMPLE TERRACE |
| State: | FL |
| Postal Code: | 336370913 |
| Phone Number: | 8139724199 |
| Fax Number: | 8139725753 |
| NPI Enumeration Date: | 06/26/2008 |
| NPI Last Update Date: | 08/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |