Larisa Malykh (NPI# 1134191539, PAC ID# 8527025501) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1134191539 |
| PAC ID by PECOS | 8527025501 |
| Professional Enrollment ID | I20041210000609 |
| Full Name | Larisa Malykh |
| Organization Legal Name | INDIVIDUALIZED MEDICINE, LLC |
| Address |
6100 Saint Johns Ave Palatka FL 32177-6859 |
| Phone Number | 3863293939 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1979 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GENERAL PRACTICE |
| Group Practice PAC ID | 9133303639 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100232 | PUTNAM COMMUNITY MEDICAL CENTER |
| 100090 | FLAGLER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6100 Saint Johns Ave, Palatka, FL 32177-6859 | 3863293939 | INDIVIDUALIZED MEDICINE, LLC |
| 6100 Saint Johns Ave, Suite 4d, Palatka, FL 32177-6859 | 3863293939 | INDIVIDUALIZED MEDICINE, LLC |
| Organization Legal Name | INDIVIDUALIZED MEDICINE, LLC |
| Physicians | 1 |
| Street Address |
6100 SAINT JOHNS AVE |
| City | PALATKA |
| State | FL |
| Zip | 32177-6859 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allain A Girouard | Orthopedic Surgery | 6100 Saint Johns Ave, Suite A 2, Palatka, FL 32177-3844 | |
| Lucien Maximin Y Tchuisse | Obstetrics/gynecology | 6100 Saint Johns Ave, Suite 6, Palatka, FL 32177-6859 | |
| Jack H Soliman | Internal Medicine | 6100 Saint Johns Ave, Suite 1, Palatka, FL 32177-6859 | |
| Irena Maria Pacanowska-assefa | Family Medicine | 6100 Saint Johns Ave, Suite 4, Palatka, FL 32177-6859 | |
| Rose Marie Watts | Nurse Practitioner | First Coast Obstetrics and Gynecology Pa | 6100 Saint Johns Ave, Suite 6, Palatka, FL 32177-6859 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April C Roberts | Psychologist, Clinical | Serenity Psychological Services Inc | 110 Kay Larkin Dr, Palatka, FL 32177-2312 |
| Patrick J Harris | Family Medicine | Roy H Hinman Md Pa | 200 Mission Rd, Palatka, FL 32177-2600 |
| Neil F Benson | Family Medicine | 108 N Palm Ave, Palatka, FL 32177-2626 | |
| Gina F Christopher | Nurse Practitioner | Neil F Benson Md Pa | 108 N Palm Ave, Palatka, FL 32177-2626 |
| Katherine Martin | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Iris N Cedeno | Nurse Practitioner | Paragon Emergency Services LLC | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Jenny Jean Gregory | Nurse Practitioner | Hospital Physician Services of Florida Pa | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Shahbaz Yousaf | Internal Medicine | Paragon Emergency Services LLC | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Daniel S Winecoff | Nurse Practitioner | Paragon Emergency Services LLC | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Dilip Purohit | Internal Medicine | Hospital Physician Services of Florida Pa | 611 Zeagler Dr, Palatka, FL 32177-3810 |
| Find all physicians in zip 32177 | |||
| City | PALATKA |
| Zip Code | 32177 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PALATKA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Larisa Malykh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.