Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1770592800 Deactivated / Inactive NPI Male Practitioner

Dr. Larry Jerome Liddle , DC

Chiropractor • Edgewater, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Larry Liddle has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 07, 2006
NPI Deactivation Date August 06, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Larry Liddle, DC was a registered Chiropractor practicing in Edgewater, FL. Throughout an active medical career spanning 20 years, Dr. Liddle provided care at the practice location at 103 EAST CONNECTICUT until profile deactivation on 2026-08-06.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 5 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

103 East Connecticut

Edgewater, FL 32132

Telephone 3864237575
Fax 3864237575
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Edgewater, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
14 Specialists

Practicing in Edgewater, FL (7309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98942 Chiropractic manipulative treatment, 5 spinal regions
299 31 $106.00 $49.19

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License FL CH2375

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Grant Barker

Chiropractor

NPI 1023574373
NPI 1780023440

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 06, 2026

Record deactivated on August 06, 2026

NPI Profile Active July 30, 2012

NPI status registered as active in NPPES database

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Updated Practice Location July 30, 2012

Registered at 103 EAST CONNECTICUT, EDGEWATER, FL 32132 (Tel: 3864237575)

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Updated Business Mailing Address July 30, 2012

Registered at 103 E CONNECTICUT AVE, EDGEWATER, FL 32132 (Tel: 3864237575)

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Provider Name / Credentials Updated July 30, 2012

Recorded as LARRY LIDDLE, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2012

Chiropractor (License #CH2375 in FL)

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Initial NPI Registration & Enumeration August 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770592800
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2006
Last Update: July 30, 2012
Deactivation Date: August 06, 2026

Mailing Address

103 E Connecticut Ave

Edgewater, FL 32132

Phone: 3864237575

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.