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Kelly Larrea

Otolaryngology/Facial Plastic Surgery

160 E Lake Howard Dr
Winter Haven , Florida 33881-3155

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Kelly Larrea

Otolaryngology/Facial Plastic Surgery

160 E Lake Howard Dr
Winter Haven , Florida 33881-3155

(786) 907-4485

Write a Review Save Call

Kelly Larrea

Otolaryngology/Facial Plastic Surgery

160 E Lake Howard Dr
Winter Haven , Florida 33881-3155

(786) 907-4485 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Otolaryngology/Facial Plastic Surgery

Languages spoken

  • English

Location

160 E Lake Howard Dr Winter Haven , Florida 33881-3155

First Address

  • Kelly Larrea
  • 8181 Nw 154th St Ste 200
  • Miami Lakes, FL
  • Zip : 33016-5861
  • Fax : (786) 907-4485
  • Phone : (305) 558-3724

Second Address

  • Kelly Larrea
  • 160 E Lake Howard Dr
  • Winter Haven, FL
  • Zip : 33881-3155
  • Phone : (863) 299-1251

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FAQs


Where did Kelly Larrea attend graduate school?

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Where did Kelly Larrea do her residency?

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Where did Kelly Larrea do her fellowship?

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Is Kelly Larrea board certified?

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In what state does Kelly Larrea practice in?

Florida

Where is Kelly Larrea ’s practice located?

160 E Lake Howard Dr , Winter Haven, Florida, 33881-3155

What is Kelly Larrea ’s gender?

Female

Is Kelly Larrea a sole practitioner?

No

Is Kelly Larrea accepting new patients?

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What languages does Kelly Larrea speak?

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Does Kelly Larrea accept insurance?

Yes, Kelly Larrea accepts insurance

Does Kelly Larrea offers telemedicine?

Kelly Larrea has not indicated if she offers telemedicine

What is Kelly Larrea ’s professional license number?

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What is Kelly Larrea ’s NPI number?

1205351020

Does Kelly Larrea have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207YX0905X Otolaryngology/Facial Plastic Surgery PA2679 FL

National Provider Identifier

NPI 1205351020
Provider Name Kelly Larrea
First Address Miami Lakes, FL 33016-5861
Second Address Winter Haven, FL 33881-3155
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 14/08/2017
Last Update Date 24/05/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
108977700 (05) FL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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