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Jacqueline Kay Larson, MD
Pediatric Gastroenterology Physician in Hollywood, Florida
NPI 1386996759

Jacqueline Kay Larson is a Pediatric Gastroenterology Physician based in Miramar, FL and is specialized in Pediatric Gastroenterology. Jacqueline Kay Larson practices in Hollywood, FL and has the professional credentials of MD. The NPI Number for Jacqueline Kay Larson is 1386996759 and holds a License No. (Florida).

The current practice location address for Jacqueline Kay Larson is 1131 N 35Th Ave Ste 300, Hollywood, FL and can be reached out via phone at 954-276-1514 and via fax at 954-276-0754. You can also correspond with Jacqueline Kay Larson through the mailing address at 2900 CORPORATE WAY, MIRAMAR, FL - 33025-3925 (mailing address contact number: 954-276-5685).

Location: 1131 N 35Th Ave Ste 300, Hollywood, FL, 33025-3925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386996759
Provider Name
Jacqueline Kay Larson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1131 N 35Th Ave Ste 300, Hollywood, FL, 33025-3925
Phone Number
954-276-1514
Fax Number
954-276-0754
Provider Enumeration Date
10/10/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101153100 05 FL
institution
Provider Business Practice Location Address Details
Address
1131 N 35Th Ave Ste 300
City
Hollywood
State
Florida
Zip
33021-5403
Phone Number
954-276-1514
Fax Number
954-276-0754
person
Provider Business Mailing Address Details
Address
2900 Corporate Way
City
Miramar
State
Florida
Zip
33025-3925
Phone Number
954-276-5685
Fax Number
954-985-7074
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Gastroenterology
Taxonomy
2080P0206X
License No.
ME124534 (Florida)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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