Jacqueline Kay Larson
MD | Pediatric Gastroenterology | Female
Jacqueline Kay Larson, MD is a Hollywood, Florida based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Jacqueline Kay Larson is
1131 N 35th Ave Ste 300, Hollywood, Florida - 33021-5403. She can be contacted on phone at
954-276-1514 and fax number 954-276-0754.
Jacqueline Kay Larson is a sole proprietor of her business.
NPI number (Unique professional ID) for Jacqueline Kay Larson is
1386996759 which was assigned by NPPES on 10 Oct, 2012 and it was last updated on 16 Mar, 2021.
Jacqueline Kay Larson license number is
ME124534 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Florida.
Jacqueline Kay Larson 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.
Complete Profile:
Jacqueline Kay Larson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Jacqueline Kay Larson |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Jacqueline Kay Larson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1131 N 35th Ave Ste 300
Hollywood, FL, 33021-5403
United States |
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| Phone Number : | 954-276-1514 |
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| Fax Number : | 954-276-0754 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1386996759 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Oct, 2012 |
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| Last Updated On : | 16 Mar, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacqueline Kay Larson are as mentioned. Primary taxonomy code for Jacqueline Kay Larson, MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | ME124534 | FL |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
Legacy Identifiers:
Other legacy medical identifiers of Jacqueline Kay Larson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 101153100 | MEDICAID | FL | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | jlarson201779@MHSDIRECT.NET
MHS DSM | No affiliation | DIRECT
Direct
|
| 1131 N 35TH AVE STE 300,
HOLLYWOOD, FL, 33021-5403
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2900 Corporate Way, Door D
Miramar, FL, 33025-3925
United States |
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| Phone Number : | 954-276-5685 |
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| Fax Number : | 954-985-7074 |
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Business Location:
Patients can refer following map for directions to
Jacqueline Kay Larson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.