| Kelly Larrea, | |
|
160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | |
| (863) 299-1251 | |
| Not Available |
| Full Name | Kelly Larrea |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 35 Years |
| Location | 160 E Lake Howard Dr, Winter Haven, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205351020 | NPI | - | NPPES |
| 108977700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA2679 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Sebring | Sebring, FL | Hospital |
| Orlando Health South Lake Hospital | Clermont, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Ent Associates Inc | 4587556923 | 130 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Larrea, 15280 Nw 79th Ct Ste 200, Miami Lakes, FL 33016-5873 Ph: (305) 558-3724 | Kelly Larrea, 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 Ph: (863) 299-1251 |
Heather Bonifay Nelson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 151 2nd St Sw, Winter Haven, FL 33880 Phone: 863-288-0960 Fax: 863-288-0963 | |
Ann Mccullough Efremoski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-291-1121 | |
Mr. Lazaro Yadier Guerrero, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne Ste 9118, Winter Haven, FL 33881 Phone: 863-297-1777 Fax: 863-297-1756 | |
Dr. Wilson Omar Rodriguez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 217 E Central Ave, Winter Haven, FL 33880 Phone: 407-315-3637 | |
Elizabeth Margaret Ennis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 550 Pope Ave Nw Ste 200, Winter Haven, FL 33881 Phone: 863-299-2630 | |
Shyam Kumar Rajendra Injety, MMS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Erin Doucey, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1601 6th Street Se, Winter Haven, FL 33880 Phone: 863-419-9301 Fax: 863-419-9304 |