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

Larry Leyderman, PA-C

Individual provider Surgical Physician Assistant · NPI 1609143270

Larry Leyderman, PA-C is a Physician Assistant in Dade City, Florida. Qualified in 2011, 15 years ago. Practices with Lakeland Regional Health Systems Inc, a 503-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Illinois.

Years since qualifying
15
Licensed in
FL, IL
In the registry since
2011
Specialties on file
3
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

13933 17th St Ste 200
Dade City, FL 33525-4604
Phone: (352) 437-5972
Fax: (352) 437-5974
Show map & directions

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

Additional practice locations (1)

  • 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 — (863) 687-1321

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9114483 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9114483 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085004191 (IL)

Record details

NPI number1609143270
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 25, 2011
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025
Mailing address1324 Lakeland Hills Blvd, Attn: Managed Care Dept, Lakeland, FL 33805-4543

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Lakeland Regional Health Systems Inc — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare