DR. JACQUELINE KAY LARSON (NPI# 1386996759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386996759 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE KAY LARSON |
| Credential | MD |
| Practice Address |
1193 W 49th St Hialeah FL 33012-3337 |
| Mailing Address |
900 S Pine Island Rd Ste 800 Plantation FL 33324-3923 |
| Practice Telephone | 9543155780 |
| Practice Fax Number | 3055949959 |
| Mailing Telephone | 9543155780 |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2019-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
ME124534 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 101153100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073993622 | Jacqueline Larson | Pharmacist | 10501 Florida Ave S, Bloomington, MN 55438-2553 | 2015-06-08 |
| Street Address |
1193 W 49TH ST |
| City | HIALEAH |
| State | FL |
| Zip Code | 33012-3337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003894494 | Oscar J Benavides | Pediatrics | 1193 W 49th St, Hialeah, FL 33012-3337 | 2006-01-05 |
| 1689215253 | Annia Gonzalez Marull | Nurse Practitioner | 1193 W 49th St, Hialeah, FL 33012-3337 | 2019-10-03 |
| 1538685656 | Saltzman, Tanis, Pittell, Levin and Jacobson, LLC | Pediatrics | 1193 W 49th St, Hialeah, FL 33012-3337 | 2017-08-21 |
| 1942655626 | Sarah Lawand | Pediatrics | 1193 W 49th St, Hialeah, FL 33012-3337 | 2016-04-29 |
| 1306227087 | Marlen Maria Rodriguez | Pediatrics | 1193 W 49th St, Hialeah, FL 33012-3337 | 2015-06-17 |
| 1871909895 | Grace C Kittelle-cintas | Nurse Practitioner | 1193 W 49th St, Hialeah, FL 33012-3337 | 2014-07-10 |
| 1396941803 | Amarilys L Murillo Perez | Pediatrics | 1193 W 49th St, Hialeah, FL 33012-3337 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699324160 | Maria Antonia Espinosa | Behavior Technician | 520 W 38th Pl, Hialeah, FL 33012 | 2019-09-08 |
| 1972157428 | Fernandez Orthofeet Corp | Prosthetic/Orthotic Supplier | 3750 W 16th Ave Suite 102, Hialeah, FL 33012 | 2019-08-01 |
| 1790267045 | Teresita De Jesus Santander | Nurse Practitioner | 1414 West 43dr Pl, Hialeah, FL 33012 | 2018-09-04 |
| 1245721760 | Physical Therapy Now of South Florida LLC | Clinic/Center | 3595 West 20 Ave Ste B, Hialeah, FL 33012 | 2018-05-21 |
| 1346741618 | Yamirka Sanchez Perez | General Practice | 1840 W 49th St Ste 105, Hialeah, FL 33012 | 2018-02-22 |
| 1356840334 | Janet Rodriguez | Behavior Technician | 5430 W 10th Ct, Hialeah, FL 33012 | 2018-02-06 |
| 1235644642 | Gustavo Brache | Massage Therapist | 3905 West 20 Avenue, Suite 125, Hialeah, FL 33012 | 2017-12-07 |
| 1962911487 | Yenisey Garabito | Behavior Technician | 1805west 56st Apt 109, Hialeah, FL 33012 | 2017-09-27 |
| 1023536026 | Florida Dental Alliance | Dentist | 4355 W 16 Ave Suite, #205a, Hialeah, FL 33012 | 2017-08-30 |
| 1861919508 | Masury Montes De Oca | Behavior Technician | 261 W 35 Street, Hialeah, FL 33012 | 2017-08-24 |
| Find all providers in zip 33012 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922519420 | Gastro Health, LLC | Pediatrics | 4791 W 4th Ave, Hialeah, FL 33012-3938 | 2017-10-24 |
| 1134576994 | Kidz Medical Services, Inc | Pediatrics | 7100 W 20th Ave, Suite 616, Hialeah, FL 33016-1897 | 2016-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821510959 | Thiru S. Arasu M.d., P.a. | Pediatrics | 2734 Windguard Cir Ste 102, Wesley Chapel, FL 33544-7362 | 2017-07-11 |
| 1194068973 | Christina Baldwin Chadwick | Pediatrics | 1600 Sw Archer Rd # Hd606, Gainesville, FL 32610 | 2013-03-31 |
| 1467719492 | Osman Zaki Ahmad | Pediatrics | 1690 Dunlawton Ave Ste 110, Port Orange, FL 32127-8980 | 2012-04-16 |
| 1912233974 | Thiru S. Arasu, Md, Pa | Pediatrics | 501 Dr Martin Luther King St S, St Petersburg, FL 33705-1814 | 2009-10-27 |
| 1720314164 | Yonathan Fuchs | Pediatrics | 1150 N 35th Ave Ste 545, Hollywood, FL 33021-5468 | 2009-10-20 |
| 1760629497 | Children's Gastroenterology of Sw Florida | Pediatrics | 9800 S Healthpark Drive, Suite 145, Fort Myers, FL 33908 | 2009-01-16 |
| 1821255027 | Thiru S. Arasu, M.d., P.a. | Pediatrics | 15045 Bruce B Downs Blvd, Tampa, FL 33647-1388 | 2008-05-16 |
| 1952503674 | Roberto A Gomez-suarez | Pediatrics | 1717 South Orange Ave., Suite #100, Melbourne, FL 32901-3224 | 2007-06-04 |
| 1659422335 | David J Bailey | Pediatrics | 4600 Touchton Rd E, Suite 2500, Jacksonville, FL 32246-8299 | 2007-01-16 |
| 1396803912 | Andrew Robert Edelstein | Pediatrics | 10200 West State Road 84, Suite 101, Davie, FL 33324 | 2006-12-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JACQUELINE KAY LARSON.
| 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.