KELLY LARREA (NPI# 1205351020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205351020 |
| Entity Type | Individual |
| Full Name | KELLY LARREA |
| Practice Address |
160 E Lake Howard Dr Winter Haven FL 33881-3155 |
| Mailing Address |
1300 E Lake Cannon Dr Nw Winter Haven FL 33881-2334 |
| Practice Telephone | 8632991251 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
PA2679 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
160 E LAKE HOWARD DR |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33881-3155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588697502 | The Barranco Clinic, P.a. | Otolaryngology | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2006-07-10 |
| 1679181085 | Emily Garrison Mcclelland | Audiologist | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2020-07-22 |
| 1518516624 | Kristin Annmarie Rushing | Audiologist | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2019-09-11 |
| 1932559291 | Shaila Perez I | Audiologist | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2016-06-17 |
| 1841640364 | The Barranco Clinic | Audiologist | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2016-06-15 |
| 1821446501 | Derek Lawrence Gavin | Audiologist | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2016-06-02 |
| 1437577947 | Kyle Anne Steenburg | Audiologist | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2014-04-01 |
| 1558505206 | Elizabeth P Sundean | Otolaryngology | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2009-04-25 |
| 1841440914 | Patricia K Dawson | Audiologist | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2008-09-25 |
| 1154524718 | Menachem Stuart | Otolaryngology | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2007-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
| 1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
| 1659862423 | Patricia Pelt | Social Worker | 3073 Buckeye Point Dr, Winter Haven, FL 33881 | 2018-05-28 |
| 1952891244 | Ansley Health LLC | Home Health | 1502 6th Ct Ne, Winter Haven, FL 33881 | 2018-05-14 |
| 1346699261 | Yovanka Zapata | Specialist/Technologist, Other | 5856 Windrigde Dr., Winter Haven, FL 33881 | 2016-06-10 |
| 1720415599 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881 | 2013-10-10 |
| 1992149397 | Nic 5 Spring Haven Leasing LLC | Assisted Living Facility | 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 | 2013-04-29 |
| 1780938225 | Penelope Sturdevant | Nurse Practitioner | 2791 Lake Alfred Rd., Winter Haven, FL 33881 | 2012-11-06 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
| Find all providers in zip 33881 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740832799 | Aspire Allergy & Sinus of Florida Pllc | Otolaryngology | 31800 Us Highway 19 N, Palm Harbor, FL 34684-3713 | 2019-07-10 |
| 1376970731 | Accent Physician Specialists, P.a. | Otolaryngology | 438 Sw Perimeter Gln, Suite 100, Lake City, FL 32025-0497 | 2013-10-01 |
| 1306190889 | Elliott Solomon | Otolaryngology | 4381 White Cedar Lane, Delray Beach, FL 33445 | 2012-11-05 |
| 1992036933 | Don N. Lerner, Md, P.a. | Otolaryngology | 836 Prudential Dr Ste 1802, Suite 1802, Jacksonville, FL 32207-8345 | 2010-01-14 |
| 1710143987 | Broward Head Neck and Facial Plastic Surgery Pa | Otolaryngology | 2671 Riviera Mnr, Weston, FL 33332-3422 | 2008-08-06 |
| 1356517767 | Jeremy Boyd White | Otolaryngology | 20950 Ne 27th Ct Ste 302, Arc Plastic Surgery, Aventura, FL 33180-1232 | 2008-05-06 |
| 1073709127 | Burger Zapf | Otolaryngology | 411 Walnut St, Green Cove Springs, FL 32043-3443 | 2007-09-22 |
| 1639360258 | Beaches Facial and Nasal Surgery Center | Otolaryngology | 1361 13th Ave S Ste 125, Jacksonville Beach, FL 32250-3260 | 2007-08-08 |
| 1851509889 | Kapil Saigal | Otolaryngology | 1035 N Orlando Ave Ste 205, Winter Park, FL 32789-2213 | 2007-05-21 |
| 1790853091 | Linda J Gardiner | Otolaryngology | 9771 Cypress Lake Dr, Fort Myers, FL 33919-6063 | 2006-12-04 |
| Find all providers with the same taxonomy | ||||
| City | WINTER HAVEN |
| Zip Code | 33881 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.