Provider Demographics
NPI:1245072099
Name:PEPPER, LARRY JOHN III (DC)
Entity type:Individual
Prefix:DR
First Name:LARRY
Middle Name:JOHN
Last Name:PEPPER
Suffix:III
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 1:2827 ALT US HWY 27 S
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-4972
Mailing Address - Country:US
Mailing Address - Phone:863-386-4325
Mailing Address - Fax:
Practice Address - Street 1:2827 ALT US HWY 27 S
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-4972
Practice Address - Country:US
Practice Address - Phone:863-386-4325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLC15041111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor