DR. JACQUELINE KAY LARSON


Address: 1193 W 49th St, Hialeah, FL 33012-3337
Phone: 9543155780

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL 101153100 05

Other Providers JACQUELINE LARSON

NPI Name Taxonomy Address Enumeration
1073993622 Jacqueline Larson Pharmacist 10501 Florida Ave S, Bloomington, MN 55438-2553 2015-06-08

Office Location

Street Address 1193 W 49TH ST
City HIALEAH
State FL
Zip Code 33012-3337

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City HIALEAH
Zip Code 33012

Improve Information

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Dataset Information

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.

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