Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larry David Hagaman, PA-C

Individual provider Medical Physician Assistant · NPI 1578725834

Larry David Hagaman, PA-C is a Medical Physician Assistant in Brandon, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

721 W Robertson St Ste 102
Brandon, FL 33511-4934
Phone: (813) 684-3707
Fax: (813) 643-2457
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA0003049 (FL)

Record details

NPI number1578725834
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 27, 2008
Last updated in NPPESJune 27, 2008

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